Confidential Questionnaire and Franchise Application

   Next Step Franchising, Inc.
   Lapels Dry Cleaning
   962 Washington Street
   Hanover, MA  02339
   866-695-2735 Toll Free
   781-829-9935 Phone
   781-829-9546 Fax
  

This application does not obligate either party. The information contained in this questionnaire will be held in the strictest confidence.

Fill in the required fields, submit form or print and fax.

Confidential Questionnaire and Franchise Application

PERSONAL INFORMATION (Please print clearly)

Last Name:

First Name:

MI:

Home Address:

City:

State:

Zip:

Home Phone

Work Phone:

O.K. to call? yes

Cell / Other Phone:

Email:

Marital Status:

Spouse’s Name:

GENERAL INFORMATION

If your application is approved, when will you be available to start the business?

Do you plan to be involved in the daily operation of this business?
Yes     No

How much time will you devote?

PROGRAMS you are interested in
AREA OF INTEREST (specify desired location)

FULL PLANT:

Yes     No  

First Choice:

RETAIL STORE:

Yes     No  

Second Choice:

EXPRESS ROUTE:

Yes     No  

Third Choice:

Are you currently involved in any lawsuit or legal action either as plaintiff or defendant?  Yes     No
If yes, explain:

 

Have you ever been part of any previous or current bankruptcy filings?  Yes     No
If yes, explain:

FINANCIAL INFORMATION

What do you currently do for work?

Present Annual Salary?

What does your spouse / partner do for work?

Present Annual Salary?

How much liquid capital do you have to invest? (cash, stocks/bonds, 401k, IRA, etc.)

The initial investment for each program can be between:

EXPRESS ROUTE
$36,678 – $48,283
DROP STORE
$64,940 – $86,644
FULL PLANT
$247,663 and $299,858

How do you plan to meet this obligation?

Do you have sufficient income from other sources or adequate capital to maintain your present standard of living until your new business can support itself and replace your prior income? Yes     No
If so, for how long?

REQUEST FOR CONFIDENTIAL INFORMATION

I , hereby request information concerning your unique franchise system known as Lapels ® Dry Cleaning.  In so doing, I recognize and acknowledge that the information I may learn represents trade secrets which are solely the property of your company.  I agree that I will not disclose or use the knowledge gained from your company regarding the trade secrets, other proprietary information and the merchandising practices of your business, nor the contents of your products and service for my personal benefit, nor for the benefit of others without your express written consent.

Print Name:

Date:

Address to Send Proprietary Information To (no P.O. Boxes):

City:

State:

Zip:

Phone # at Delivery Address:

Further, I certify that all of the information contained in this questionnaire is true to the best of my knowledge.


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