Golds Gym Canada :: Franchise Form

Franchise Form CONTACT INFORMATION
First Name
Last Name
Street Address
City
Province
Postal Code
Email Address
Home Phone
Work Phone
Cell Phone
EMPLOYMENT & BUSINESS EXPERIENCE
Present Occupation
Business Address
Street	Suite
City
Province
Postal Code
Business Experience
1. From To Name Position Annual Income
2. From To Name Position Annual Income
3. From To Name Position Annual Income
Business References
1. Name & Title Company Street Address City Province Phone
2. Name & Title Company Street Address City Province Phone
3. Name & Title Company Street Address City Province Phone
EDUCATION
High School Year Completed Diploma Received
College or University Year Completed Diploma Received
Other (please specify)
HEALTH
Doctor's Name Street Address Phone
What is the general state of your health?
Do you have any serious illness or disibility? If Yes, Please Explain Briefly
CREDIT REFERENCES
Banks 1. Name Street Address Phone 2. Name Street Address Phone
Investment Company or Stock Broker 1. Name Street Address Phone 2. Name Street Address Phone
Credit Cards 1. Name Institution 2. Name Institution
Accounting Firm 1. Name Street Address Phone
Legal Counsel 1. Name Street Address Phone
APPLICANT'S STATEMENT OF NETWORTH Assets Cash On Hand Notes & Accounts Owed Real Estate Cash Surrender Value Of Stocks, Bonds & Investments Automobiles Miscellaneous TOTAL ASSETS VALUE My assets are held jointly with my spouse? Liabilities Notes Payable to Banks & Others Notes & Accounts Due to Others Loans On Life Insurance Policies Real Estate Mortgages Real Estate Assessments Unpaid Taxes Miscellaneous TOTAL LIABILITIES NET WORTH Do you have any judgements issued against you? Do you have any litigious proceedings pending or threatened against you? Do you have an Unencumbered Cash and Investment amount of $1,000,000.00? If not, how much? Do you have a Working Capital amount of $500,000.00? If not, how much? Please explain the source of funds for this investment. What are the specific assets to be used to fund the unencumbered cash amount? Asset Value Asset Value Asset Value Asset Value Asset Value Asset Value Total Cash to Close
GENERAL INFORMATION Why are you interested in Gold's Gym Canada? Are you willing to devote a minimum of 2 weeks to training? When can you begin? Are you willing to devote your full time to this business? Do you plan on having a partner? Have you seen an existing franchise? Where? Which location are you interested in? 1st Choice City Province 2nd Choice City Province 3rd Choice City Province Would you be willing to relocate? Desired Income in First Year? Annually in Five Years?
Thank you for taking the time to fill out this Franchise Application for Gold's Gym Canada. By clicking on the submit button below you certify that all of the above information is true to the full extent of your knowledge. All information will be held in the strictest confidence by Gold's Gym Canada. Please allow a reasonable amount of time for us to respond. Apply Now

Franchise Form

CONTACT INFORMATION

EMPLOYMENT & BUSINESS EXPERIENCE

CREDIT REFERENCES

APPLICANT'S STATEMENT OF NETWORTH

GENERAL INFORMATION