Franchise Inquiry

Franchise Inquiry – Click here for a printable form in PDF.

* denotes required field

Personal Data

Your Name:*

Mr.
Mrs.
Ms.

Email:*

Home Address:*

City:*

State/Province:*

Country:*

Zip:*

How Long:

Primary Phone:*

Alternate Phone 1:

Best Time to Call:

Your Education

Highest Level of Education:*

          Some High School
           High School Diploma
           Some College
          College Degree
           Advanced Degree

Employment and Business Data

Your Most Recent Employer:*

Position/Title:*

Salary:*

How did you hear about PremierGarage?*

Cash available for investment in this business:*

Background Information

Have you or your spouse ever been involved in a personal or business bankruptcy?

Yes
No

Are you or your spouse part of any criminal investigation at this time?

Yes
No

Have your or you spouse ever been charged with a felony?

Yes
No

Are there currently any civil judgments pending against your or your spouse?

Yes
No

Are there currently any civil suits pending against you or your spouse?

Yes
No

Future Plans

Area prefered (City, State)*

1)
2)
3)

What is your reason for wanting to go into your own business?*

What questions do you have regarding owning your own business?*

What skills and experience do you have that would give you the ability to be a success in this business?

I certify that, to the best of my knowledge, the information contained herein is accurate and complete. PremierGarage is hereby authorized to investigate my background as it pertains to qualification, business considerations, and status. This may include investigations of employment, personal and professional references, education, and information contained in public records including credit, criminal and motor vehicle data. I release all such persons and companies from any liability or damages for having furnished such information.

Accept:*
Decline:

*PremierGarage may require verification of this information prior to awarding a Franchise.