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FRANCHISE APPLICATION
PLEASE FAX COMPLETED
FORM TO 330-538-9901
Personal Information
First Name Last Name
Address City State Zip
Phone Number Alternative Phone Number
Business Information
Currently Employed: Yes No Current Employer:
Business or Professional Knowledge:
Have you ever owned or managed a business before:
Have you ever owned or managed a franchise before: If Yes which One:
Franchise Information
How did you find out about imageOne:
Do you have a partner: Yes No If Yes, Who:
Franchise Area of interest (city, state and county, zip code):
If currently employed, will you continue to work after you begin the franchise? Yes No
When do you hope to start your franchise?
Are you looking at one location or multiple locations?
Financial Information
Have you ever been convicted of a felony: No Yes (if yes please explain)
Have you ever declared bankruptcy: No Yes (if yes please explain)
What is the Source(s) of your franchise fee?
What is your current Net Worth? (Please provide a financial statement if available)
In addition to the Franchise Fee, how much Capital do you plan on having?
The information I have provided is truthful to the best of knowledge and I understand that by submitting this application does not guarantee me a franchise. I also give imageOne the authority to verify that this information is correct.
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