Friday, May 18, 2012
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Franchising Information   »   Franchising Opportunity Survey    
Drag and drop form
First Name *
Last Name *
Email Address *
Are you a U.S. Citizen? *
If no, what country?
Address 1 *
Address 2
City *
State *
Zip Code *
How long have you lived at that address? *
What is the best phone number to reach you? *
What is the highest level of education you've received? *
Have you ever visited a BoomBozz restaurant? *
What is your timeline for getting started? *
What level of foodservice experience do you have? *
Will you be running the business yourself? *
If you will have other owners/partners, please list them here
What has you most interested in the BoomBozz concept?
What city or town are you looking to develop a BoomBozz in? *
What size operation are you looking to develop? *
How did you hear about BoombBozz?
What is your employment status? *
Name of company/employer
Type of business
Position
Total liquid assets availble (e.g. cash, stocks, bonds, mutual funds - min. $100k required) *
Total tangible assets (e.g. house, car, business, etc.) *
Total liabilities ($400,000 net worth required) *
If you don't meet our financial requirements, how will you fund your business?
Are you currently involved in any lawsuits? *
Have you ever filed for bankruptcy protection? *
If yes, identify discharge date (mm/dd/yyyy)
Are you or anyone in your immediate family a partner or owner (partial or otherwise) of a restaurant
If yes, list name of business and family relationship
Are you or anyone in your immediate family employed by a restaurant or deli? *
If yes, list name of employer and family relationship
Are you or anyone in your immediate family under any form of non-compete agreement? *
If yes, list name of employer and family relationship
Have you ever been convicted of a felony? *
Please list 3 references including name, relationship, years you've known them, and contact number *
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Terms and Conditions Minimize

BY SUBMITTING THE FORM ABOVE YOU AGREE TO ACCEPT THE TERMS BELOW:
I understand that the granting of a franchise is at the sole discretion of the Franchisor (TBB America, LLC) I understand that the information I am receiving from TBB America, LLC, or from any TBB America, LLC associate, employee, agent, or franchise is highly confidential, has been developed with a great deal of effort and expense to TBB America, LLC, and is being made available to me because of this application, and will be held in strictest confidence.

I will not divulge or use any data, customer or employee names and addresses, techniques, methods, advertising materials, forms, or other information of whatever kind recceived from the Franchisor without consent. I authorize the procurement of an investigative consumer report and understand that it may contain information about my background, character, general reputation, mode of living, credit worthiness and job performance. I understand that, upon written request within a reasonable period of time, I am entitled to additional information concerning the nature and scope of this investigation. I hereby release TBB America, LLC, its representatives, and their officers, agents, employees and servants from any liability arising from or relating to the preparation of this report or investigation relating thereto.

This authorization for release of information includes but is not limited to matters of opinion relating to my character, ability, reputation and past performance. I authorize all persons, schools, companies, corporations, financial institutions, credit agencies and bureaus, courts, and law enforcement agencies to release such information without restriction or qualification to TBB America, LLC, its representative, or any of their officers, agents, employees and servants. I voluntarily waive all recourse and release them from liability for complying with this authorization, and I here by release TBB America, LLC, and its representatives, and their officers, agents, employees, and servants, from any liability on account of the provision of such information or the use of such information in connection with this application. This authoriztion/release shall apply to this as well as any future request for an investigative consumer report by TBB America, LLC I authorize that a photocopy, electronic submission or facsimile of this release be considered as valid as the orginal.

I have read this application and everthing I have stated in it is true. Additionally, I understand the filing of this application does not obligate me the applicant to purchase or the franchisor to sell a franchise. I understand that the information provided by me will be relied upon by the Franchisor. I certify that the statements in this application are complete, and I have not withheld information affecting my reputation or credit standing.
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