Personal Information
Your Name
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Email Address
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Home Address
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City
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State
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Zip Code
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Cell Phone
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Secondary Phone
Spouse/Partner's Name
Spouse/Partner's Email
Number of Children
Age of Children
Where do you plan to locate your A-1 Franchise?
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Do you envision opening more than one location?
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-Select- Yes No
If you do envision more than one location, what other cities would you be interested in?
Have you ever run a business before?
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-Select- Yes No
Do you plan to have partners/investors (other than your spouse)?
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-Select- Yes No
Financials
A. Your estimated total assets (cash, securities, notes, 401k, real estate, insurance, etc.)
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B. Your estimated total liabilities (loans, mortgages, credit balances, accounts payable, taxes, etc.)
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C. Your estimated net worth (assets - liabilities)
Required
D. Capital available to invest
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A-1 Concrete Leveling, Inc. requires franchisees to have a minimum net worth of $250,000 and $100,000 liquid to open an A-1 franchise location.
Do you meet these requirements?
Required
-Select- Yes No
Verification
The information I have provided to A-1 Concrete Leveling, Inc. is for the purpose of qualifying for consideration to open and operate a franchise. This information is true and correct to the best of my knowledge.
I verify (initials)
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