Franchise Application

Franchise Application Form

SECTION 1: PROFILE

First Name

Last Name

How long at this address (*years):

Work Phone:

Cell Phone:

Home Phone:

Address

Address Line 1

Parish:

Country

Are you a citizen of Jamaica?:

Yes

State your citizenship:

SECTION 3: SPECIFIC DATA

Assuming your review of Mother’s Enterprises Ltd. is positive, are you prepared to make a decision about the franchise opportunity within 90 days?

Yes

Describe any training in sales, marketing, management or retailing:

Why do you think a Mother’s Enterprises Ltd. franchise will enable you to reach your personal goals?

Proposed Address for Franchise:

Address Line 1

Parish:

Country

Who will be responsible for daily operations?

Amount of cash available for investment:

Source of cash for investment:

Do you have access to financing?

Yes

Explain your financing source

Have you been approved for business financing?

Yes

What amount have you been approved for?

Would this business be your sole source of income?

Yes

What questions do you have about this opportunity?

AUTHORIZATION FOR INVESTIGATION

I/we represent and warrant that all of the statements made by me/us in the above application are true and correct. I/we understand that if I/we make a false statement, such action will terminate my/our application for consideration. I/we understand that by signing this application, I/we authorized Mother’s Enterprises Ltd. to check my/our credit with a credit bureau, conduct a background and criminal investigation. I/we agree that this application shall be and remain the property of Mother’s Enterprises Ltd. whether or not this application is approved. By my signature below, I hereby authorize all corporations, former employers, credit agencies, educational institutions, law enforcement agencies, courts and agencies, military services and persons to release all information they may have about me including criminal history. This authorization shall be valid in original or copy form.

I/we understand that this application does not obligate either party to engage in a business transaction in any manner.

Applicant's Information:

First Name

Middle Name

Last Name

Day of Birth

Month of Birth

Year of Birth

TRN or Social Security

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Applicants Signature:

Sign Here

Signature Date:

Are you married or have a business partner?

Yes

Partner of Spouse’s Information:

First Name

Middle Name

Last Name

Day of Birth

Month of Birth

Year of Birth

Partner or Spouse's TRN:

Partner or Spouse's Address

It is the same as Applicant's

Different Address

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Partner or Spouse’s Signature:

Sign Here

Signature Date:

AUTHORIZATION FOR INVESTIGATION

The undersigned has made an application for a Mother’s Franchise.

The Applicant understands that, in reliance upon this application, a substantial amount of time and expenses may be exerted in seeking, surveying and showing locations suitable for a Mother’s outlet and in undertaking various other steps preliminary to the granting of a Franchise.

In consideration of the services to be rendered to the Applicant hereunder, the Applicant agrees not to disclose or to make use of, either directly or indirectly, any trade secrets or information disclosed to him in reliance upon this application, including, but not limited to, contemplated locations for a Mother’s restaurant, sources of supply, merchandising techniques and operating methods. It is intended that this paragraph shall survive termination, abandonment or cancellation of this application and shall be effective whether or not a Mother’s Franchise is entered into between the parties.

The Applicant certifies that the information furnished in this Franchise Application Form is a true and correct statement of my (our) financial condition on the date indicated. The Applicant agrees to notify you immediately in writing of any material change in said condition. The Applicant hereby also authorizes Mother’s Enterprises Limited to make inquiries of the Applicant's bankers and creditors as to their dealings with the Applicant and the Applicant's credit worthiness and hereby authorizes that such bankers and creditors disclose such information to Mother’s Enterprises Limited. The Applicant acknowledges and confirms that no franchise or other agreement shall be deemed to have arisen between the Applicant and Mother’s, (except as herein provided) by virtue only of the Applicant executing this application. Such agreements shall only arise upon the execution by the Applicant and Mother’s Enterprises Limited of final written agreements.

First Name

Last Name

Signature

Sign Here

Partner of Spouse’s Authorization:

First Name

Last Name

Partner or Spouse's Signature

Sign Here

Date / Time

Franchise Application

SECTION 1: PROFILE

SECTION 2: FINANCIAL CAPABILITY AND EXPERIENCE

FINANCIALS

Assets

FINANCIALS

Liabilities

Net Worth

REAL ESTATE OWNED

INCOME

EXPENDITURES

SECTION 3: SPECIFIC DATA

AUTHORIZATION FOR INVESTIGATION

AUTHORIZATION FOR INVESTIGATION

Mother's Franchise Application

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