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SIMPLY WRAPPS Restaurants Franchise Interest Form

CONFIDENTIAL INFORMATION
Submission: SIMPLY WRAPPS is an eco-friendly company, so please complete
this franchise interest form electronically and email it to:
enquiry@simplywrapps.com
SECTION 1: PERSONAL DATA
Surname: First Name:
Date of Birth: Marital Status:
Spouses Name: Date of Birth:
Number of Children: Total Dependants:
Home Address: Years there:
City: State: Postal Code:
Tel. # Home: ( ) Tel. # Office: ( ) Fax #: ( )
E-Mail:

SECTION 2: EDUCATION

High School: University/College:


Degree:
Describe any training:

SECTION 3: BUSINESS EXPERIENCE

Present Occupation:
Company: Address:
Salary:
Duties/Responsibilities:

Spouses Occupation:
Company: Address:
Salary:
Are you now self employed (yes/no): (If yes, complete the following):
Firm: Phone Number: ( )
Type of business: Years in business:
Your Title: Yearly Sales: Salary:

SECTION 4: PREVIOUS BUSINESS EXPERIENCE

Position Company Location Phone Contact


1
2
3
4
5
(2)

SECTION 5: FINANCIAL

Assets: Liabilities:
Cash $
Stocks, Bonds & Securities $ Unpaid Taxes $
Accts, Notes Receivable $ Loans $
Real Estate (Market Value) $ Other bank loans $
Mortgage Receivable $ Mortgage loan $
Cash value Life Insurance $ Other liabilities $
R.R.S.P. holdings $ $
Automobiles (Market value) $ $
Other assets $
TOTAL $ TOTAL $

Describe Real Estate:


Describe Securities:
Mortgage Payment: Monthly Car payment Loan payment

SECTION 6: ABOUT YOU

From what source did you learn about SIMPLY WRAPPS?

Are you seeking an individual franchise or multiple units?

What is the reason you are exploring Franchise Opportunity


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Print Name Date

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