Fit Zone for Women | Franchise Opportunities Application

Personal Information

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Name *

First

Last *

Last

Email *

Address *

Address Line 2

City *

State *

Postal Code *

Primary Phone *

Secondary Phone

I am an American Citizen *

Yes

Marital Status

Single

Married

Divorced

Spouse's Name

Present Employment

Job Description

Present Income

1st Location Choice

2nd Location Choice

Assetts

Cash in checking account

Cash in savings account

Stocks

IRA

401k's

Real Estate (home)

Real Estate (other)

Automobiles

Business Value

Total Assets

Liabilities

Mortgage (home)

Mortgage (other)

Notes to Bank

Other Notes Due

Credit Cards

Taxes Due

Autos Due

All Other Liabilities

Total Liabilities

Investment Information

Your Net Worth

take total assets minus total liabilities

Your Total Liquid Capital to Invest in Your Business

Your ability to finance the balance of your business. How Much?

Do you have any other source of investment capital?

Total Investment

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