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REQUEST FOR CONSIDERATION

THIS IS NOT AN APPLICATION.

THIS REQUEST FOR CONSIDERATION IS FOR GENERAL INFORMATION USED IN A PRELIMINARY EVALUATION OF YOUR LOCATION AND QUALIFICATIONS FOR BEING AWARDED A 1st PROPANE® FRANCHISE. (To be completed by each proposed partner of the Franchise Group.)

PERSONAL/BUSINESS DATA:
First Name:
Last Name:
Phone:
Best Time to Call:
Fax:
Email:
Date of Birth:
Marital Status:
Spouse Name:
Years at Address:
Street Address:
City:
State:
Zip:
How did you become aware of this franchise opportunity?
BUSINESS MANAGEMENT EXPERIENCE:
Present/most recent position/business:
Previous:
(If you are an individual) Have you ever owned a business?
If yes, what type?
BUSINESS AND MANAGEMENT GOALS:
Will you devote full time to this venture?
Will your spouse be active in the franchise?
Planned date to open your first franchise:
Initial territory desired:
Additional territories: Years 3-4
Additional territories: Years 5-6
First market or city preferences:
Second market or city preferences:
Will there be other partners? IF YES, PLEASE IDENTIFY ALL PARTNERS:
PRELIMINARY FINANCIAL DISCLOSURE:
Amount of cash available to start the business:
Initial cash source:
Amount of additional cash (if needed) in the first two years:
Additional cash source:
Net worth (personal or business)
OTHER INFORMATION :
What unique circumstances or experience do you believe will assist you with the successful operation of a 1st Propane® franchise?
Signature:
Date: