MAUI WOWI HAWAIIAN COFFEES & SMOOTHIES FRANCHISE APPLICATION – PAGE 1
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FRANCHISE APPLICANT FRANCHISE SPOUSE PRESENT ADDRESS
First First Years Street Address
M.I. M.I.
Last Last City State
Date of Birth Date of Birth Zip
Telephone
Alt. Telephone
Best Time to Call
If Yes, Please Explain: If Yes, Please Explain: Names/Ages:
Email
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__ Yes __ No __ Yes __ No __ Yes __ No
Have you ever been in business for your self? Has your spouse ever been self-employed? Do you have children? Interests/Organizations: How did you hear about us?
BUSINESS EXPERIENCE / EMPLOYMENT HISTORY Franchise Applicant
Employer’s Name Street Address City Job Title Duties Supervisor’s Name Date of Employment From: Reason for Leaving Highest Level of Education (circle) H.S Bachelors Master PhD Major: To: May we contact? State Zip Telephone
Applicant’s Spouse
Employer’s Name Street Address City Job Title Duties Supervisor’s Name Date of Employment Reason for Leaving Highest Level of Education (circle) H.S Bachelors Master PhD Major: From: To: May we contact? State Zip Telephone
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__ Yes __ No
Salary
__ Yes __ No
Salary
Will other investors participate in this franchise?
__ Yes __ No
If Yes, list name and extent of participation:
How would you be involved in the business? What income do you expect from your business?
__ Full-Time __ Part-Time First Year:
Are you interested in multiple units? Second Year:
__ Yes __ No
How long have you been looking for a business/franchise? Why are you looking into a franchise now? What is your timeframe for finding the right business? Preferred 1) Areas
__ Now __ 3 Months __ 6 Months __ 1 Year or Longer 2) Are you looking to relocate? __ Yes __ No
3)
If Yes, where and when? Rate your interest in Maui Wowi on a scale of one (1) to ten (10) Rate your marketing skills on a scale of 1 to 10 Rate your management skills on a scale of 1 to 10 Rate the importance of status in the selection of a business on a scale of 1 to 10
Least Interested Poor Poor
1 2 3 4 5 6 7 8 9 10 Highly Interested 1 2 3 4 5 6 7 8 9 10 Excellent 1 2 3 4 5 6 7 8 9 10 Excellent
Not Important 1 2 3 4 5 6 7 8 9 10 Very Important
MAUI WOWI HAWAIIAN COFFEES & SMOOTHIES FRANCHISE APPLICATION – PAGE 2
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What aspects of business ownership do you find attractive? What skills/experience do you feel will help you excel as a business owner?
What are your strengths and weaknesses related to managing a business?
What are the most important things to you when considering a business?
FINANCIAL INFORMATION ASSETS
Cash in checking account Cash in savings account Stocks/Bonds/Securities Retirement Plan/IRA/401k Home (market value) Other Real Estate Autos (market value) Life Insurance (cash value) Your own business Money due to you Other Assets (itemize) TOTAL ASSETS $ $ $ $ $ $ $ $ $ $ $ $ TOTAL LIABILITIES $ Notes Payable Home Mortgage Other Real Estate Auto Loan Credit Cards Charge Accounts Taxes Payable Other Liabilities
LIABILITIES
$ $ $ $ $ $ $ $ $ $ $ $
Total Assets minus Total Liabilities Equal Net Worth Source of Monthly Income
Salary Bonuses or Commission Dividends and Interest Real Estate Income Other (itemize) $ $ $ $ $ $ $ $ $ TOTAL INCOME DIFFERENCE BETWEEN INCOME AND EXPENSES AMOUNT OF CASH AVAILABLE FOR FRANCHISE (Liquid Capital) $ $ $
Monthly Expenses
Rent or Mortgage Food and Utilities Incidentals Auto Loan(s) Medical $ $ $ $
CHARGE ACCOUNTS
Company Name $ $ $
Balance $ $ $ $
Payment
TOTAL EXPENSES
Source of funds:
Savings: $
Bank Loan $
Other: $
MAUI WOWI HAWAIIAN COFFEES & SMOOTHIES FRANCHISE APPLICATION – PAGE 3
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LEGAL INFORMATION
Have you or your spouse ever been convicted of something other than a minor traffic violation? Are you or your spouse subject to a pending litigation or unsatisfied judgments? __ Yes __ No __ Yes __ No
If Yes, Please Explain and include date, location, charge and disposition of charge: If Yes, Please Explain: If Yes, Please Explain:
Have you or your spouse ever declared bankruptcy? __ Yes __ No
Please give us any additional information not outlined above you feel would be helpful in evaluating your financial position:
Please provide any additional information that would be helpful in evaluating your potential as a franchise operator:
ETHNICITY
The following items are optional. The information you provide will have no bearing on your ability to be granted a franchise license. First language, if other than English Language spoken at home: If you wish to be identified with a particular ethnic group, please check all that apply: __ __ __ __ __ African American, Black Native American, Alaskan Native (tribal affiliation Asian American (countries of family’s origin Asian, including Indian Subcontinent (countries Hispanic, Latino (countries enrolled ) ) ) ) __ __ __ __ __ Mexican American, Chicano Native Hawaiian, Pacific Islander Puerto Rican White or Caucasian Other (specify)
I / We do hereby represent that all of the above answers are true and complete to the best of my/our knowledge and belief. I / We recognize that Maui Wowi Hawaiian Coffees & Smoothies® is not in any way obligated to offer a franchise to me/us because of my/our execution of this document. I / We acknowledge that any false statement on this application shall be considered sufficient cause to deny further consideration. I / We understand that an inquiry regarding my/our character, general reputation, personal characteristics, mode of living and financial background may be made as a result of this application and hereby authorize the release of this information to Maui Wowi Hawaiian Coffees & Smoothies®. A photographic copy of this authorization shall be as valid as the original.
NAME
DATE
Maui Wowi Hawaiian Coffees & Smoothies 5445 DTC Parkway, Suite 1050 Greenwood Village, CO 80111 Ph: (877)849-6992 ∙ Fax: (303)781-2438 www.mauiwowi.com