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FRANCHISE APPLICATION

* Indicates a required field.

Applicant
Surname	*
First Name	*
Last Name	*
Social Security Number	(000-00-0000) *
Date of Birth	(MM/DD/YY) *
Marital Status	*
Number of Dependents	*
Citizenship	*
Education	(highest level attained)*
Address	*
City	*
State/Province	*
Zip/Postal Code	*
Home Phone	*
Cell Phone	*
Work Phone	Ext.
FAX
E-mail	*

Co-Applicant (Spouse and/or Business Partner)
Surname
First Name
Last Name
Social Security Number	(000-00-0000)
Date of Birth	(MM/DD/YY)
Marital Status
Number of Dependents
Citizenship
Education	(highest level attained)

Have you or your spouse/businiess partner ever been charged with a felony?
*

If yes, please explain:

Are you or your spouse/businiess partner presently a defendant in any suits or legal actions?
*

GENERAL INFORMATION

How did you hear about us?

Where do you want to locate your store?

Have you considered other franchises?

Have you received a UFOC (Uniform Franchise Offering Circular) from any other franchise company?

Have you looked at other food franchise companies?

Why are you interested in owning a franchise?

PROFESSIONAL EXPERIENCE

What is your current employment status?

Current Employer
Type of Business
Number of Years
Current Position
Address
City
State/Province
Zip/Postal Code

I have worked in a business as an: (Hold down Control Key to select more than one.)

I have worked in a restaurant as an: (Hold down Control Key to select more than one.)

Have you ever worked in a business that has direct contact with customers?

What is customer service to you?

GETTING STARTED

Do you intend to keep your current employment after the store opens?

Will you be managing the store?

Do you have a manager or other person who will be managing the store?

Are you available for three to four weeks of training before the store opens?

FINANCIAL CAPABILITY

Total Liquid Assets Available (e.g. cash, stocks, bonds, mutual funds)
Total Tangible Assets (e.g. house, car, business, etc.)
Total Liabilities

Are you financially capable of self funding the total cost of getting a Squeeze Fresh Smoothies store up and running?

Can you maintain your lifestyle during the time it takes to establish the store in the community where it will be located?

Have you ever applied for a business loan or SBA financing?

If yes, did you obtain the financing?

Do you understand that you pay the franchise fee now even though a suitable site for the restaurant may not come up for a year or more?

How long are you able to invest into your store before you make a profit?

SUBMIT APPLICATION

Submission of this Franchise Application does not constitute acceptance by Squeeze International Inc. (Squeeze) of applicant as a franchisee nor does it grant any franchise rights, which may only be granted by executing a written franchise agreement.

Before I am accepted as a franchisee with Squeeze I authorize Squeeze to start an investigative consumer report (including information as to my character, general reputation, personal characteristics and mode of living) and credit investigation based on information voluntarily provided by me at that time and represent that all information is true and accurate. I understand that I have a right to request that Squeeze make a complete and accurate disclosure of the nature and scope of such investigation. Squeeze may obtain my credit report in connection with this application and other information provided by me in the future. This is my authorization to credit reporting agencies, bank(s), creditors and suppliers to release to Squeeze and to Squeeze to release to such parties all information requested regarding my depository, loan or other credit information including without limitation, financial information by telephone or in writing as part of the normal credit evaluation process. I release my bank(s), creditors, suppliers and Squeeze from all liability with respect to the release of any such requested information. Authorization is granted to use photo or fax copies of my signature to obtain information. If I am requesting that Squeeze make a credit determination based on my creditworthiness combined with any co-applicants, I authorize Squeeze to discuss any derogatory credit items with such co-applicants.

I understand that Squeeze may, at any time, require that I sign an updated application or provide updated or additional information. I acknowledge that I have read, and hereby agree to be bound by the terms of the Confidentiality and Non-Disclosure Agreement that is a part of this Application and will be executed by the parties prior to any additional disclosure.

I Agree * Important! This must be checked to submit application.