Franchise Form

Thank you for your interest in a Lizard Thicket Franchise. The purpose of this document is for Lizard Thicket to find out a little about yourself, as well as your intentions for a Lizard Thicket Franchise. This is not an application.

General Information

Name

Street

State

ZIP

Telephone#

Business Experience

Present Position

Type of Business

Dates this position was held

Previous Position

Type of Business

Have you ever owned a business?

Yes

Financing

How do you plan to finance your store?

Bank Loan

Private Investor

Details

Location Preferences

Preference 1

City

State

Preference 2

City

State

Desired opening date of Lizard Thicket franchise

Other Information

Why do you want to open a Lizard Thicket franchise?

Why do you believe you can successfully operate a Lizard Thicket franchise?

I CERTIFY THAT THE INFORMATION FURNISHED IN THIS DOCUMENT IS TRUE AND CORRECT.

Full Name

Date