Ink Solution :: Confidential Questionnaire Form

Confidential Questionnaire Form

Once we have reviewed your Confidential Questionnaire, we will contact you to confirm any other information we may need. By completing our Confidential Questionnaire you are NOT commiting to purchasing an Ink Solution Franchise.

Personal Information

Last Name:

First Name:

Address:

City:

State:

Zip:

# of Years at Address:

Home Phone:

Business Phone:

Email Address:

Best Time to Call:

How did you hear about us?

Education

Highest Level of Education Completed:

Name of School, College, or University:

Diploma Received:

Ink Solution & Franchisee Plans

I am interested in:

Where are you interested in opening an Ink Solution Franchise?

In case this area is no longer available, what are your second and third choices?

Would you work full time at your Ink Solution store? Yes: No:

Will you have a partner? Yes: No:

If so, indicate their relationship to you:

Will he/she be active in the business? Yes: No:

What features interest you most about Ink Solution?

What personal qualities and qualifications do you possess that you feel would enable you to operate a successful franchise?

Are you presently associated with, or have an interest in, any other business? Yes: No:

If yes, please explain:

Have you, or a company with which you were associated, ever declared bankruptcy? Yes: No:

If yes, please explain:

Professional references: (please indicate name, telephone number, and relationship)

Name	Telephone	Relationship

Personal references: (please indicate name, telephone number, and relationship)

Name	Telephone	Relationship

Financial Information

Assets

Cash:

Accounts/Loans Receivable:

Investments:

Real Estate Value:

Liabilities

Loans Payable to Banks, Direct Borrowings:

Accounts Payable and Credit Cards:

Mortgages Payable on Real Estate:

Other Liabilities (itemized):

Source of Income

Salary:

Bonus Commissions:

Dividend & Interest:

Real Estate Income:

Other Income:

What are your major questions about Ink Solution?

I hereby consent to Ink Solution obtaining any credit or investigation reports in connection with this questionnaire. I hereby further consent to Ink Solution taking whatever actions it considers necessary to verify the information set forth above, including contact any of the references above.

I Understand that Ink Solution will keep all the information concerning this questionnaire confidential, and that it is for the express use if Ink Solution and its Are Developers only. None of this information will be shared in anyway with anyone outside of Ink Solution at any time. By completing this questionnaire you are consenting to the collection of the above information for the purpose of qualifying only those requirements of awarding a franchise. This questionnaire is not a biding offer or contract from Ink Solution to grant a franchise.

By checking the following box, I agree to the above statements: