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					       Nirchi’s Pizza
          Franchise Application

       Welcome to the Nirchi’s Pizza Franchise application process! Thank you for
your inquiry of our Franchise Program. The purpose of this application is to provide us
with an initial assessment of your assets, both in personal talents and financial ability to
operate your own Nirchi’s Pizzeria. Meeting the requirements of this application does
not constitute an offer to award a franchise, however we hope it is a successful start.
       Upon receipt of this completed application, we will begin the process of
evaluation and you will then be contacted by a development agent. If you have any
questions concerning this process, don’t hesitate to call John Marshall, at 607-772-9745.


        General Franchise Services include, but are not limited to:
      Assist in Site selection
          o Lease/ Purchase negotiation
          o Franchise site approval
      Provide a START UP PLAN
          o A review that includes a comprehensive list of
                    Organizational costs
                    Inventory costs
                    Advertising/Promotional expenses
                    Equipment requirements
                    Construction build out guidelines
          o The plan also provides the franchisee with recommendations for working
               capital, and general cash reserves
      We offer a Training program for Franchise principals and general staff
          o Basic Management
          o New Employee Orientation
          o Customer Service
          o Cash Handling
          o Kitchen Operations
          o Delivery Service
          o NYS Health Department requirements
          o Pizza Making
      Work with you to develop a marketing/ promotional strategy
      Provide Staff support for the store opening



Franchise Application                                                                          1
Minimum Requirements:

      The Franchisee must be the operational manager. If the business structure
       includes members, corporate officers, or partners, then there must adequate
       business back round amongst its members. Additionally, the group must assign
       one member who would qualify as the operational, managing partner.

      The franchisee, or managing partner must reside in the area of development

      The operational manager must have successful management experience in food
       service.

      Franchisee, or Franchise group should have a net worth of $ 150,000 and
       $200,000 per restaurant in liquid assets or available financing. The financial
       requirements listed represent targets that should allocate adequate cash reserves
       for a typical start up location, after the build out is completed. However, each
       location is evaluated individually, based on its business plan.



The Franchise Costs:

      Initial Franchise fee is $ 25,000.
      Franchise royalties are 5 ½ % sales, paid weekly
      Franchise regional advertising fees are not to exceed 2 %, and local, store specific
       advertising expenses that represent an additional 1%


The Franchise Acceptance Process:

      Application/ Credit Report review
      Site/ Development area approval
      A scheduled orientation seminar on the Nirchi’s Pizza program
      Upon initial approval, a franchise offering
      Proof of an adequate financing package
      If leasing a site, a proposed lease, contingent on financing and Franchise approval
      If purchasing a site, a signed letter of intent, contingent on financing and franchise
       approval
      Franchise Agreement review, signing and Initial Franchise fee paid
      Site Build out, Equipment procurement and Training




Franchise Application                                                                      2
  PERSONAL INFORMATION
                  Please submit this application to: Pizza Systems, Inc., P.O. Box 2457, Binghamton, NY 13902
====================================================================================
GENERAL INFORMATION                                                                                 TODAY’S DATE: ____________

NAME: ________________________________________________________________________________________________________
                       (last)                                  (first)                         (middle initial)

ADDRESS: _____________________________________________________________________________________________________
                      (street)                                (city)                  (state)                  (zip code)

TELEPHONE NUMBER: (______) _______________                 Date of Birth: ___/___/___     SOCIAL SECURITY #: ___________________________

E-MAIL ADDRESS: ___________________________
Have you been employed by Nirchi’s Pizza before?        YES NO                   Location: ____________________From: ____/____ to ____/____
Do you currently have a family member employed by Nirchi’s Pizza?        YES NO                  Location: ____________________
Are you or any member of your immediate family affiliated with any other pizza business? YES NO If yes, please explain: ____________________
Do you or your spouse currently own any interest in any food service business? YES NO If yes, please explain:____________________________
Have you ever been convicted of a Felony?    YES NO            If yes, please explain: ___________________________________________________
====================================================================================
EDUCATION BACKGROUND
High School: ___________________________ Graduate?            YES NO GED          Date: ___/___/___
College: __________________________ Graduate? YES NO Date: ___/___/___ Degree: ______________ Are you still enrolled?          YES   NO
=================================================================================================================
EMPLOYMENT HISTORY (If you are the Operating Manager, list at least one successful management job in the food service industry)
Employer: ____________________________ Phone: (______) _______________ Dates employed: ____/____to____/____
Address: ________________________________________________________________________________________________________
                             (Street)                                  (City)                    (State)                  (Zip code)
Job title: ______________________________ Starting rate/salary: $_________            Final rate/salary: $_________
Immediate supervisor & title: ________________________________                May we contact supervisor for reference? YES NO
Reason(s) for leaving: _____________________________________________________________________________________________
====================================================================================
Employer: ____________________________ Phone: (______) _______________ Dates employed: ____/____to____/____
Address: ________________________________________________________________________________________________________
                             (Street)                                  (City)                       (State)              (Zip code)
Job title: ______________________________ Starting rate/salary: $_________               Final rate/salary: $_________
Immediate supervisor & title: _________________________________        May we contact supervisor for reference?   YES NO
Reason(s) for leaving: _____________________________________________________________________________________________
=====================================================================================
BUSINESS REFERENCES

Name: _______________________________                 Phone: (______) _______________               Relation: _________________________

Name: _______________________________                 Phone: (______) _______________               Relation: _________________________



Use this space for any additional information from the sections above:




                  Franchise Application                                                                                       3
PERSONAL FINANCIAL STATEMENT
       You may be required to provide additional financial information for franchise approval.
============================================================================
BUSINESS SERVICE PROFESSIONALS:

Attorney:           __________________________________________________________________________
                        Name                     Firm                                  Address                                           Phone #

Accountant: __________________________________________________________________________
              Name          Firm                  Address                     Phone #
====================================================================================
GENERAL:

How do you plan to finance your Franchise?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

Have you ever filed for Bankruptcy? YES NO If yes, please explain: ___________________________

Are you a party to any lawsuit or subject to outstanding judgments? YES NO If yes, please explain:
______________________________________________________________________________________

What is your current NET WORTH? $_______________                                       Date: ___/___/ 200__

============================================================================
Use this space for additional information to the questions above:




** Please attach a copy of your last year’s Personal Tax Return
============================================================================
Application Statement:
Authorization. The Applicant signing below (for purposes of this Applicant Statement “I”) authorize Nirchi’s Pizza, Inc. and its affiliates to request
and review all data deemed appropriate about the Applicant and Guarantors, including credit reports from agencies. Upon request Nirchi’s Pizza,
Inc. will tell me if a credit report was requested, and, if so the name and address of the credit reporting agency furnishing the credit report. To
request the information, I should call or write your office to which I am submitting this application.
Certification and Reliance. I certify that the information herein is complete and true as of this date.
BY SIGNING BELOW, I EXPRESSLY PERMIT NIRCHI’S PIZZA, INC. TO SHARE WITH ITS AFFILIATES ANY AND ALL OF MY PERSONAL
FINANCIAL INFORMATION OBTAINED IN CONNECTION WITH THIS TRANSACTION, INCLUDING ANY INDIVIDUAL CONSUMER CREDIT
REPORT OBTAINED NOW OR IN THE FUTURE, I UNDERSTAND THAT I AM NOT REQUIRED TO AUTHORIZE THE SHARING OF SUCH
INFORMATION IN ORDER TO HAVE THIS APPLICATION PROCESSED.
Notwithstanding the above with respect to the sharing of information, please check the box opposite your signature if you do not
authorize Nirchi’s Pizza, Inc. to share your personal financial information with its affiliates, other than information Nirchi’s Pizza, Inc. may
share as otherwise provided by law

______________________                                                                         _______________
     By                                                                                                   Date
_______________________________
     Print Name




Franchise Application                                                                                                                              4
Franchise Application   5

				
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