Franchise Application

Pickleplex Social Club
/
Franchise Application

Personal Information

Name of Applicant(Required)

First Last

Email(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone(Required)

Secondary Phone

What is your marital status?(Required)

Please specify your marital status.(Required)

Do you have any childern?(Required)

Yes

Number of childern?(Required)

Please enter a number from 1 to 99.

What is the highest level of education you completed?(Required)

What is your status in Canada? or US?(Required)

Other(Required)

General Information

How long have you been looking for a business?(Required)

What businesses have you been looking into? What did you like and what did you dislike about them?(Required)

How many hours a week are you dedicated to putting into your business?(Required)

What is your #1 most important attribute of a business?(Required)

What is your timeframe to get into a business?(Required)

What city or region of Canada are you interested in?(Required)

Enter as many cities or regions of Canada as you wish.

Preferred location(s) to open a business?(Required)

Will you be managing the business?(Required)

Yes

Not sure at this time

Are you Interested in a single franchise or multi-unit?(Required)

Do you plan on having a partner?(Required)

Yes

Who is your partner and their contact details?(Required)

Employment Background

What is your employment status?(Required)

Please specify your employment status.(Required)

Name of current or previous employer?(Required)

Title / Position?(Required)

Income?(Required)

Have you ever owned a business?(Required)

Yes

Please provide details about your business ownership history.(Required)

Your Financials & Assets (CAD$)

Please display all amounts as CAD. In the following fields, enter numbers only. Other characters are not required. No international money.

Market value of your home?(Required)

Market value of other real estate holdings?(Required)

Available Cash (Chequing & Savings)?(Required)

Market value of vehicles?(Required)

Shares/Stocks/Bonds or other investments?(Required)

Current Value of RRSPs?(Required)

Equity in any business?(Required)

Value of other assets?(Required)

Boat, Motorcycle, etc.

My Total Assets(Required)

Liabilities (CAD$)

Please display all amounts as CAD. In the following fields, enter numbers only. Other characters are not required. No international money or debt.

Outstanding home mortgage?(Required)

Outstanding investment loan(s)?(Required)

Outstanding vehicle loan(s)?(Required)

Outstanding personal loan(s)?(Required)

Credit card debt?(Required)

All Cards

Line of Credit?(Required)

Only include the amount you owe. Not the total available funds on your LOC.

Other Liabilitie(s)?(Required)

Total amount of those "Other Liabilities" not counted above.

My Total Liabilities(Required)

My Net Worth

Total Net Worth(Required)

Cash Available for Investment?(Required)

Enter the amount that you would allocate from "My Net Worth" for your franchise opportunity.

Additional Background Questions

Have you or your spouse been involved in a bankruptcy?(Required)

Yes

Please provide details about your bankruptcy and resolved date.(Required)

Have you or your spouse been convicted of a crime?(Required)

Yes

Please provide details about your crime.(Required)

Are you under any type of criminal investigation?(Required)

Yes

Please provide details about the criminal investigation.(Required)

Are you or your spouse subject to any civil lawsuits or judgements?(Required)

Yes

Please provide details about the civil lawsuits or judgements.(Required)

Are you willing to relocate for a franchise opportunity?(Required)

Yes

For the purpose of applying for a franchise, the undersigned acknowledges that the foregoing
statement and information fully and truthfully sets forth the accurate financial condition for the
undersigned on the date set out below. The undersigned further acknowledges as part of the selection process that an investigation may be made with respect to the undersigned credit status, character, general reputation and mode of living. I hereby consent to the Franchisor to investigate to obtain the above information.

I understand that the acceptance of this Franchise Application by the Franchisor does not constitute the grant of a franchise. I understand that the Franchisor grants franchises only by executing written franchise agreements. I understand that the Franchisor may, at any time, require that I sign an updated application or provide updated information. As a condition of my Application, I authorize investigation of all
statements contained in this application. I understand that the Franchisor will be making a final decision based solely on non-discriminatory considerations and that misrepresentation or omission of facts called for is just cause
for the rejection of my application. I accept the above terms (if you do not accept all terms, your application will not be processed).

I agree to the Terms of Service

Signature(Required)

Signature Date(Required)

MM slash DD slash YYYY

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