Franchise Application

PERSONAL INFORMATION
First Name:

    

Last Name:

    

Other Names (Names of other individuals involved)

    

E-mail Address:

    

Day Phone Number:

 

( )  - ext

  

Evening Phone Number:

 

( )  - ext

  

Best Time to Call

  Day Evening Either   

Home Address:

    

City, State, Zip

       Select AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY        

Years at This Address

    

Education

    

Special Schooling (and/or Training Seminars Attended)

    

BUSINESS EXPERIENCE
Present Employer

    

Position

    

Duties

    

Flooring Experience (If Any)

    

Big Bob’s Flooring Outlet Employment Experience (If Any)

    

GENERAL INFORMATION
How did you become interested in Big Bob’s?

    

Do you have and are you prepared to invest $250,000-$300,000 in liquid assets?

  Select Yes No   

If your answer is NO to the question above, what is your source of financing?