Franchise Application Name Brand * Greco Pizza Greco XPRESS Capt. Submarine Capt. Submarine XPRESS FROZU! FROZU! XPRESS Frank & Gino’s Choose the brand or Brands your are interested in Personal Information Name * Home Phone Cell Phone Business Phone May we contact you at your business phone? Yes No Email Address * Residential Address * City * Postal Code * Date of Birth * Social Insurance Number Marital Status Spouse’s Name Total Dependants Name and Ages of Children Have you ever been convited of a criminal offence? No Yes Language(s) Spoken: English French Other Language(s) Written: English French Other Education Laste year of school completed Name of College and/or Post Secondary Institution Degree(s) / Dimploma(s) Describe any training in sales, management or retailing Business Experience Present Occupation Position Company Name Business Address, City, Province, Postal Code Date Started Describe duties, number of employees supervised and responsibilities Previous business experience 1. Date Started End date Position Type of Business Company Name of Supervisor Address Reason Left Responsibilities 2. Date Started End date Position Type of Business Company Name of Supervisor Address Reason Left Responsibilities 3. Date Started End date Position Type of Business Company Name of Supervisor Address Reason Left Responsibilities Have you ever been self employed? Yes No Have you ever had a business failure? Yes No Additional Information Have you or any member of your family ever been affiliated with, or employed by. this Corporation or any of the franchise owners or any other Restaurant Operation? Yes No Have you or any member of your family been related by blood or marriage to any officer, director, licensee, supplier or employee of Grinner’s Food Systems Limited? Yes No Based on your previous and current earnings level, what would you consider an acceptable amount of take home profit from your franchise after meeting all financial commitments pertaining to the store including loan and mortgage payments? Have you or your spouse ever made application for a bond, filed for bankruptcy, had a real estate loan foreclosed, had any liens or judgements against you, or have you ever been or now are party to any lawsuits? Yes No Are you a partner or officer in any other venture? Yes No Do you plan to have a partner? Yes No Why do you feel you can become a profitable Franchisee? What are your location preferences? When would you be available to begin training? What do you feel will be your most important contribution to your business should you be successful in obtaining a Grinner’s Food Systems Franchise? References Three personal references other than business employers or relatives. 1. First Reference Name Address Telephone Email (if available) 2. Second Reference Name Address Telephone Email (if available) 3. Third Reference Name Address Telephone Email (if available) Financial Information Please use no or none where appropriate Assets Cash on hand Registered Retirement Savings Plans Other Pensions Stocks and Bonds Real Estate (Present Value) Motor Vehicles (Current Value) Cash Surrender Value-Life Insurance Policy Other Assets Note the items which you would convert to cash, if necessary, to meet the intial cash requirements for a franchise. Proof of values may be required at a later date. Total Assets Liabilities Mortgages Against Real Estate Vehicle Loans Other Loans Personal Taxes & Assessments Payable Credit Card Amounts Owing Other Liabilities Total Liabilities Net Worth Total: Liabilities subtracted from assets Banking Please fill in banking information completely, especially account numbers. Financial Institution #1 Name of Bank Address Type of Account Account Number Cash Balance Loans Financial Institution #2 Name of Bank Address Type of Account Account Number Cash Balance Loans Financial Institution #3 Name of Bank Address Type of Account Account Number Cash Balance Loans Other Loans 1. Name of Debtor Address Description 2. Name of Debtor Address Description 3. Name of Debtor Address Description Credit Card(s) Held 1. Card Type 2. Card Type 3. Card Type Real Estate 1. Description Address Market Value Assessed Value Mortgages and Encumberances Name of Mortgagor or Lender 2. Description Address Market Value Assessed Value Mortgages and Encumberances Name of Mortgagor or Lender 3. Description Address Market Value Assessed Value Mortgages and Encumberances Name of Mortgagor or Lender Available Capital Available Capital to Invest in this business Source of this Investment Capital Authorization * TO GRINNER’S FOOD SYSTEMS LIMITED: I certify that the personal and financial statement of my property and debts is true. I declare that neither my spouse nor any other person has any claim to the assets shown except as set out therein. The whole of my property is shown at a fair valuation. I, or any company I own, is not being sued and there are no executions against me, neither do I owe anything to any other person or institution except as reported. Due Diligence Authorization * I AUTHORIZE GRINNER’S FOODS SYSTEMS LIMITED OR ITS REPRESENTATIVES TO OBTAIN SUCH FACTUAL, INVESTIGATIVE AND FINANCIAL INFORMATION REGARDING ME, OR ANY COMPANY I OWN SHARES IN, FROM OTHERS, INCLUDING ANY CREDIT REPORTING AGENCY, BANK, CREDIT GRANTOR OR ANY OTHER PARTY WITH WHICH GRINNER’S FOOD SYSTEMS LIMITED HAS FINANCIAL RELATIONS, AS PERMITTED BY LAW, AND TO FURNISH SUCH PARTIES WITH PARTICULARS OF THIS APPLICATION AND TO RETAIN THIS APPLICATION FOR CORPORATE RECORDS. I MAY WISH TO INFORM MY BANK THAT GRINNERS FOOD SYSTEMS LIMITED MAY BE CALLING TO CONFIRM MY FINANCIAl RESOURCES.