Thanks for expressing interest in our franchise opportunity and for taking the first step towards building your own organization. Please send us some initial information so we can start you on the journey of investigating our concept.

PERSONAL DATA

First Name *

Last Name *

Spouse/Busines Partner's Name(s)

Street *

City *

County

Zip/Postal Code *

State *

Country *

How long have you been at your current address? *

Email *

Your highest level of education *

College *

Major *

EMPLOYEMENT & BUSINESS DATA

Current Occupation *

Employer *

Street *

City *

Postal/Zip Code, State *

Present Salaray *

Date Started *

Description of work *

Your previous experience (list in order) *

PERSONAL REFERENCES

Name

Phone Number

Name

Phone Number

Name

Phone Number

How long have you been looking for a business opportunity?

What other businesses have you investigated?

What are your reasons for wanting to own your own business? *

FUTURE PLANS

List your top territory preferences

When would you like your first franchise to open?

What are some major questions you have concerning owning your own business?

What skills and experience do you have that would facilitate your success in this business?

Additional comments

FINANCIAL INFORMATION

Cash on Hand & in Banks *

Stocks, Bonds, Securities *

401K or Retirement *

Real Estate Owned Value *

Other Assets *

Total Assests *

Notes Payable *

Home Mortgage *

Other Liabilities *

Total Liabilities *

Net Worth *

Cash Available *

If additional funds are required for this business, are they available? Please explain

If you have a partner, how active will they be? *

Do you plan to have investors? If so, to what extent? *

Do you have sources of income other than salary? If so, source and amount. *

Thank you for your submission!

This information I am submitting to America's Dog & Burger is for the purpose of qualifying for consideration to open and operate a America's Dog & Burger franchise to be granted by America's Dog & Burger. This information is true and correct. *

VERIFY

Thanks for your submission.

We’ll get back to you as soon as possible.