AroundAbout Local Media, Inc.
Your Name
Date of Birth
Street Address
City
State
Zip Code
Telephone
Your Email (required)
Marital Status MarriedSingle
Spouses Name
Number of Children and Ages (if applicable)
Highest Level of Education High SchoolSome CollegeBachelors/AssociatesMaster/Doctorate
Name of Institution(s)
Graduation Year
Current Employer
Business Address
Business Telephone
Type of Business
Length of Employment
Position
Previous Employer
Approximate Income
Spouse's Income
Approximate Net Worth
Please list that names and telephone numbers of any associates who may join you as a partner in your franchise. Any associate who joins you in the franchise will also be required to submit a preliminary application.
Do you presently own or rent? Own HouseOwn CondoRent HouseRent CondoRent Apartment
Do you have a specific source for financing? YesNo
Please list source(s)
Primary Bank
I understand that a more complete financial statement will be required prior to the sale of an AroundAbout Local Media, Inc. franchise. I Agree
What date do you wish to open your franchise?
What city/area?
Are you willing to relocate? YesNo
General remarks and questions:
I understand that your receipt of this data or any other information obligates neither me nor AroundAbout Local Media, Inc. and that this information is confidential. I Agree
