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Franchise Application

All fields with checkboxes must have a choice selected in order for the form to process.

If you prefer to fax or mail your application, a PDF version is available here.

Personal
Name (First, Middle Initial, Last)
Street Address
City, State, Country, ZIP
Home Phone Number
E-Mail Address
Fax number
Birth Date
Social Security Number
Driver's License # or Other Applicable ID #

 

Business Background
Current Occupation/Title
Length of Employment
Self-Employed
Yes   No
Name of Company
Business Phone Number
Address
City, State, Country, ZIP
Give A Brief Review of Last Five Years of Employment

 

Personal References Professional References
Name Phone Number (incl. area) Name Phone Number (incl. area)

 

Financial References
Name of Institution
Contact/Title Phone Number
Name of Institution
Contact/Title Phone Number

 

Geographic Operating Area(s) of Interest
City Zip Code State County Country

The undersigned hereby authorizes Maid to Perfection Global, Inc. to obtain and exchange credit data; warrants that all information contained in this application is true and accurate and agrees to notify Maid to Perfection Global, Inc. of any material change in this information during the processing of this application.

Name Date

 

Credit Information
Personal Business
Name of Bank or Financial Institution
Name of Bank or Financial Institution
Contact Person
Phone Number
Contact Person
Phone Number
Address
Address
City, State, Country, ZIP
City, State, Country, ZIP
Checking Account Number
Checking Account Number
Savings Account Number
Savings Account Number

 

Business Entity Information
Please Indicate One of The Following
Existing Entity   New Entity to Be Formed
If this is an existing business, will the business be guarantying the debt to Maid to Perfection Global, Inc. in addition to personal guarantees?
Yes   No   N/A
 
Please Indicate One of The Following
Sole Proprietorship   Partnership   Limited Partnership   Limited Liability Company   Corporation  
 
Name of Business Entity
   
Amount of Initial Working Capital Available:
$
Personal or Existing Business Assets
   
State or Country of Formation
Date of Legal Existence
 
Primary Business Performed by Business Entity
   
Name of Owner(s), Partner(s), or Member(s) (include Title) Percentage of Ownership
1)
2)
3)
4)
     
Bank/Finance Company Contact/Title/Phone Number Amount
1)
2)
3)
4)

 

By signing below, I warrant that all of the information submitted in connection with this Application, including any financial statements attached to this Application, are true and accurate as of the date below; and, I agree to notify Maid to Perfection Global, Inc. of any material change in my personal, business, or financial status while this Application is processing. I understand that this Application does not constitute an offer by Maid to Perfection Global, Inc., to sell a franchise and that this information is being provided to Maid to Perfection Global, Inc., solely for the purpose of evaluating my personal, professional and financial qualifications. I consent to and acknowledge that in addition to any information provided by me, Maid to Perfection Global, Inc. may obtain and exchange background information relating to my personal and business records, including but not limited to my credit, tax information, litigation, property, corporate, criminal and driving records. I consent to and acknowledge that the information provided with this Application may be used to qualify me for new or existing franchises available.
Name Date