How did you hear about The Blitz?
Will The Blitz be your only income source?
Yes
No
Do you have an accountant?
Yes
No
Are you presently in or have you ever filed for bankruptcy?
Yes
No
If yes, date of discharge:
Have you ever been convicted of a felony?
Yes
No
How do you plan on operating your business?
Sole Proprietorship
Partnership
Corporation
LLC
Not Sure
How much cash do you have available for this project?
Under $30,000
$30,000 - $50,000
$50,000 - $75,000
$75,000 - $100,000
Over $100,000
What is your approximate net worth? (total assets minus total liabilities)
Under $100,000
$100,000 - $300,000
$300,000 - $500,000
Over $500,000
List three personal references: Name, Relationship, Years Known, and Telephone with Area Code
Describe your current occupation and duties.
What do you want to accomplish with The Blitz franchise?
What interests you about The Blitz franchise?
In which geographic market areas would like to operate The Blitz? (in order of preference)
List any other qualifications you would like us to know about you.
This Confidentiality Agreement (“Agreement”) is made this day between The Blitz, a Florida Corporation, and the person or persons or entity whose name, address, and e-signature are disclosed in this application.
By submitting this application, you are giving The Blitz permission to verify the information submitted as part of an applicant qualification procedure.
