APPLICATION: Aladdin`s Eatery Restaurant Franchise

Transcription

APPLICATION: Aladdin`s Eatery Restaurant Franchise
APPLICATION: Aladdin’s Eatery Restaurant Franchise
Aladdin’s Eatery Systems, Inc., 14518 Detroit Avenue, Lakewood, OH
44107Attention: Franchise Sales
Tel (216) 226-2020 • Fax (216) 226-2083
The submission of this application does not obligate the applicant or Aladdin’s Eatery Systems, Inc. (“Aladdin’s”)
in any manner, nor does it imply that there is any legal or commercial relationship between either party. It is merely
a preliminary procedure. Aladdin’s does not discriminate based on race, color, sex, religion, national origin, ancestry,
age, disability or marital status. All information is kept strictly confidential. Please respond in the space provided.
Attach a separate sheet if necessary.
Applicant Information
Name
Home Phone
Street Address
Social Security #
City
State
Zip Code
Previous Address (if at current address less than five years.)
Date of Birth
Business Phone / Mobile
Marital Status
Spouse’s Name
Have you ever been invloved in litigation, arbitration or bankruptcy?
Have you ever been convicted of a felony?
Are you a citizen of the United States?
Yes
Yes
Yes
Total Dependents
No
No
No
Education
High School
Year Graduated
Address
College
Degree
Year Graduated
Address
Vocational Institute
Degree
Year Graduated
Address
Business Experience
Present Occupation
Position
Company
Address
Dates Employed
Describe duties, number of employees supervised, and responsibilities:
Previous Business Experience
Dates Employed
Phone Number
Position
Company
Type of business
Name of Supervisor
Responsibilities
1
Address
Reason for leaving
General Information
1st preference for location of Aladdin’s Eatery Restaurant franchise:
City/State
2nd preference for location of Aladdin’s Eatery Restaurant franchise:
City/State
3rd preference for location of Aladdin’s Eatery Restaurant franchise:
City/State
If selected, my involvement would be (check one):
Full time (active owner/operator)
Part Time (with other business interests)
Absentee owner (investment only)
Landlord (owner of building/land)
If not full time, explain:
Where did you learn about Aladdin’s Eatery Restaurant franchises?
Have you visited an Aladdin’s Eatery Restaurant franchise:?
Yes
No
If yes, where?
Personal Financial Statement (yearly)
Salary/Wages
Business Profits
Dividends/interest
Bonus/commissions
Notes/Accounts Receivable
Real Estate income
Other income – specify source, trust, etc.
Total
Schedule 1 – Banking Relations (Cash/Notes Payable)
Bank Name
Location of Bank
Cash Balance
Outstanding loans
Maturity of loan
Describe Collateral
Schedule 2 - Investments
Description of Security
Market Value
Face Value
US Government Securities
Accounts & Notes Receivable
Stocks
Bonds
Other
2
Maturity Date
Income Received Are Securities
Last Year
Pledged?
Schedule 3 - Real Estate
Complete Address
Title In Whose
Name
Assets
Cash (1)
Investments (2)
Cost
Market
Value
Balance on
Mortgage
Date of
Maturity
Liabilities & Net Worth
$
Notes Payable
$
$
$
Accounts Payable
Accounts and notes receivable (2)
$
Taxes and assessments payable
$
Real Estate (3)
$
Mortgages payable on real estate (3)
$
$
Automobiles-market value
Registered in own name, # of cars
Other (Itemize)
$
$
Other indebtedness (itemize)
$
$
$
$
$
$
$
$
$
$
$
$
Total Assets
Installment
Amount
$
$
Total Liabilities
$
$
Net Worth
$
$
Total liabilities and net worth
$
What is your total anticipated revenue from sources other than Aladdin’s Eatery franchise
for the next twelve months, if approved as a franchisee? $
Authorization To Release Information
I understand that the granting of a franchise is at the sole discretion of the Aladdin's Eatery Systems, Inc. ("Franchisor") and the submitting of
this application does not commit Franchisor to grant you a franchise or constitute the making of, or acceptance of, any offer of a franchise.
I understand that any information I receive from the Franchisor or from any employee, agent or franchisee of the Franchisor is highly confidential
("Confidential Information"), has been developed with a great deal of effort and expense to the Franchisor, and is being made available to me solely
because of this Application. I agree that I shall treat and maintain all Confidential Information as confidential, and I shall not, at any time, without the
express written consent of the board of directors of the Franchisor, disclose, publish, or divulge any Confidential Information to any person, firm,
corporation or other entity, or use any Confidential Information, directly or indirectly, for my own benefit or the benefit of any person, firm,
corporation or other entity, other than for the benefit of the Franchisor.
I authorize the procurement of an investigative consumer report, a general background search and an investigation in accordance with anti-terrorism
legislation, such as the USA Patriot Act and Executive Order 13224 enacted by the US Government (collectively referred to as "Investigations").
I understand that these Investigations may reveal information about my background, character, general reputation, mode of living, association
with other individuals or entities, creditworthiness, litigation history and job performance. I understand that, upon written request, within a reasonable
period of time, I am entitled to additional information concerning the nature and scope of these Investigations. I hereby release a representative of
the Franchisor, a credit bureau, security consultant or other investigative service provider selected by the Franchisor, its officers, agents, employees,
and/or servants from any liability arising from the preparation of these Investigations. I voluntarily waive all recourse and release them from liability
for complying with this authorization. This authorization/release shall apply to this as well as any future request for these Investigations by the above
named individuals or entities. I authorize that a photocopy or facsimile of this release be considered as valid as the original.
I agree that I will settle any and all previously unasserted claims, disputes or controversies arising out of or relating to my application or candidacy for
the grant of a franchise from Franchisor, exclusively by final and binding arbitration at a hearing to be administered by a neutral arbitrator in accordance
with the Commercial Rules of the American Arbitration Association and to be held in Cleveland, Ohio, USA, unless my local laws require otherwise.
Everything that I have stated in this application is true and I understand that the information provided by me will be relied upon by the Franchisor.
In accordance with anti-terrorist legislation, I understand that I will not be approved to purchase a franchise if I have ever been a suspected terrorist or
associated directly or indirectly with terrorist activities. I read, understand, and agree to all of the above. Additionally, I understand that the Franchisor
may require me to pass a standardized Math and English exam, unless I fall under one of the exemptions set forth in the Franchisor's Offering Circular.
I certify that I have read each of the provisions of this Authorization and understand each such provision.
I verify that all information listed on this application is accurate
Signature (applicant)
Date
Signature (spouse)
Date
3
Property of Aladdin’s Eatery Inc., All Rights Reserved
2008

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