Pet Habitat - For the love of your favorite pet

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OUR FRANCHISE APPLICATION

Online Preliminary Confidential Franchising Application
Simply fill out the application and submit to us.
We'll be in contact with you shortly. Application will be held in strictest confidence

personal information
name
spouse's name
street address					number of years
city		Province		Postal Code
home phone		bus. phone		cell
email				# of dependents

number and type of pets			number of years as a pet owner
personal references (other than relatives)
1.	phone
2.	phone
education and business experience
please check number of years completed schooling
12 13 14 15 16 17 18 19 20
any other special training
current employer
address
city		state/province		zip/postal
position			years in this position
business reference-1				tel.
business reference-2				tel.
business reference-3				tel.
financial information
ASSETS			LIABILITIES
annual income			notes payable to bank
cash in checking accounts			notes payable to others
cash in savings accounts			charge accounts & credit cards
stocks & bonds			mortgage
real estate value (est.)			taxes payable
investments/ retirement accounts			car loans
car value (est.)			other liabilities (describe)
other assets (describe)



total assets			total liabilities
have you ever had a bankruptcy? yes no
If so, when?
do you have a financial partner or any other personal source of investment capital? yes no
If yes, please explain
additional information
will you work full time in your Pet Habitat franchise store?					yes no
will you have a partner/investor?					yes no
If yes, will the partner/investor be active?					yes no
where did you first learn about Pet Habitat franchises?
in what area would you like to locate your franchise?
if approved, how soon will you be ready to enter the program?
please tell us why you're interested in becoming a Pet Habitat franchisee:
Important: This application is to be completed by all parties pursuing a relationship with Pet Habitat. It is understood that the purpose of this information is to evaluate your qualifications to be awarded a Pet Habitat franchise. The information contained herein will be held in the strictest confidence. Sending this form does not obligate Pet Habitat or the applicant in any way or manner. I certify that the above information is a true and correct representation of my personal and financial condition and authorize Pet Habitat to verify, through usual and customary commercial channels, including financial institutions and credit agencies, the information provided by me. yes date

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