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Contact Us Franchise Information Form

Online Application

If you would like to start the process of learning more about a PrintwearXpress franchise please complete this Application and submit it to PrintwearXpress World Headquarters. Once approved, we will send you a Franchise Information Kit including PrintwearXpress's Uniform Franchise Offering Circular (UFOC-includes information about the company and our franchise opportunity, current financial information, and a complete list of our franchisees.)

* Indicates mandatory fields

This application must be completed in full.

*First Name:
*Last Name:
*E-mail:
Social Security #:
Street Address:
City:
*State:
*Zip Code:
Daytime Phone:
Evening Phone:
Cell Phone:
Best time to call? Day Evening
Age:
Occupation:
Employed by:
How long employed
at present occupation?
Spouse's Name:
Spouse's Employment:
Children:
Ages:

Have you ever been convicted of a felony?
Yes: No:

If so, for what?

Do you currently own, or have you ever owned, your own business?
Yes: No:

If so, describe:

Have you ever failed in business?
Yes: No:

If so, why?

Will you be able to devote the time that is needed for a
new business?
Yes: No:

If not, who do you have in mind to operate the business?

In what state, county and city are you considering establishing a business?

State:
County:
City:

Do you have a specific location in mind?
Yes: No:

If accepted, how soon would you be able to operate a center?


FINANCIAL INFORMATION

Real Estate Mortgage
Auto Notes Due Banks
Stocks Notes Due Others
Bonds Auto Loan
Other Other
Cash TOTAL LIABILITIES
TOTAL ASSETS NET WORTH

What is the current annual income for your household? $

If you were to proceed with this investment, would you have to finance any portion?
Yes: No:

If so, how much?
What source of financing do you have in mind?

Other:


PERSONAL DATA

List Educational Background

High School: Years
Attended:
College: Years
Attended:
Other:

List Employment History for the past 3 years

Employer: Years
Employed
Employer: Years
Employed
Employer: Years
Employed

Comments:

I understand that the granting of a franchise is at the sole discretion of PrintwearXpress Franchise Corporation (PXFC) and that this document is not a contract and does not bind either party. I authorize the procurement of a consumer credit report and an investigation in accordance with anti-terrorism legislation. Everything that I have stated in this application is true and I understand that the information provided by me will be relied upon by PXFC.

I Agree

   
 
 

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