The Meadows Original Frozen Custard

Franchise Application The filing of this application does not obligate the applicant to purchase, or the franchisor to sell a franchise.
1) Applicant Information
*First Name:
*Last Name:
Social Security #:
*U.S. Citizen:	Yes No
2) Spouse's Information (leave blank if not applicable)
First Name:
Last Name:
Social Security #:
3) Contact Information
Home Phone:
Mobile Phone:
Fax Number:
*Email Address:
Address:
Address:
City:
State:
Zip:
4) Preliminary Financial Information This is strictly precursory information. A more detailed financial statement may be required if you continue through the Franchise process.
*Cash or Near Cash (Stocks, Bonds, etc.): $
*Income (Salary, Bonuses, etc.): $
*Home Value: $
*Net Worth:
5) Educational Background
Schools Attended:
Degree/Diploma Attained:
6) Current Employment
Self Employed:	Yes No
Employer Name:
Employer Address:
City:
State:
Zip:
Work Phone:
OK To Call at Work:	Yes No
7) References (Excluding Family)
Reference Name:
Address/City/State/Zip:
Phone:
8) Franchise Preferences
Where did you hear about Meadows Frozen Custard?
Why do you want to own a Meadows Frozen Custard franchise?
City and State:
#1
#2
#3
Population:
Do you have a location chosen within the city?	Yes No
Would you be the sole owner of this franchise store?	Yes No
9) Franchise Co-Ownership If you choose co-ownership please list names and addresses below (if names are to be included on the franchise agreements, please have these individuals fill out a separate application).
Name:
Address:
City:
State:
10) Meeting Preferences I / we are available to visit the home office in Ebensburg PA for the purpose of being presented and explained the The Meadows Franchising Systems INC. uniform franchise offering circular on the following date:
First Choice Date: :
Alternate Choice
11) Legal Terms I understand that the granting of a franchise is at the sole discretion of the Franchisor, The Meadows Franchising Systems INC. I understand that the information I am receiving from the Franchisor or from any employee, agent, or Franchisee of the Franchisor is highly confidential, has been developed with a great deal of effort and expense to the Franchisor, is being made available to me because of this application, and will be held in strictest confidence. I will not divulge or use any data, customer or employee names and addresses, techniques, methods, advertising materials, forms, or other information of whatever kind received from the Franchisor without its consent. I understand that I will have to successfully complete the Franchisor's training school before I will be allowed to open for business. I authorize the procurement of an investigative consumer report and understand that it may contain information about my background, character, general reputation, mode of living, credit worthiness, and job performance. I understand that, upon written request within a reasonable amount of time, I am entitled to additional information concerning the nature of this investigation. I hereby release The Meadows Franchising Systems INC. their officers, agents, and employees from any liability arising from the preparation of this report or investigation relating thereto. This authorization for release of information includes but is not limited to matters of opinion relating to my character, ability, reputation and past performance. I authorize all persons, schools, companies, corporations , credit bureaus and law enforcement agencies to release such information without restriction or qualification to The Meadows Franchising Systems INC. . I voluntarily waive all recourse and release them from consumer report by the above named corporation. I authorize that a photocopy or facsimile of this release be considered as valid as the original.
I have read this application and everything that I have stated in it is true. Additionally, I understand that the information provided by me will be relied upon by the Franchisor.*Agree to Terms:
	Yes No
Date:
*Applicant Initials: