Happy Joe's Pizza & Ice Cream Parlor - Franchise Opportunities

The information requested in this form is used to evaluate your qualifications to be awarded a Happy Joe's Pizza & Ice Cream Franchise, and is kept strictly confidential.

Your Information

First Name:

Last Name:

Street Address:

City:

State:

Zip Code:

E-mail Address:

Contact Phone:

How did you become acquainted with Happy Joe's Pizza & Ice Cream?:

Please provide your desired franchise location state and city.

Location Information Comments:

Business Experience

List present or most recent company information:

Company Name:

Type of Business:

Position/Responsibilities:

Restaurant Experience:

Have you ever owned your own business?:

	Yes
	No

Type:

Will you be devoting full time to this business venture?:

	Yes
	No

Within the last 10 years, have you been a party to a lawsuit, bankruptcy or other legal proceeding?:

	Yes
	No

If yes, please explain:

Financial Information

Assets

Cash Assets available to invest in this business (Cash on hand, Checking, Savings, Money Market, Certificates of Deposit, Treasury Bills, Life Insurance Cash Value):

Liquid Investment Assets (Stocks, Bonds, Mutual Funds, Partnership Interests):

Additional Information

If you have additional questions and/or comments about Happy Joe's franchise opportunities, please provide them in the fields below.

Additional Questions or Comments:

Colored fields indicate required information.