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Franchise Application

Please fill out the form below so that we may contact you with more information
Note: Any information you provide will remain confidential.

* Name:
Title:
Company:
* Address:
* City: * Prov / State:
Country: * Postal Code / Zip Code:
* Phone #: (Please include area code)
Fax #: (Please include area code)
* Email:
* Indicates a required field

How did you hear about End Of The Roll?
Radio     Television     Newspaper
Store Visit     Trade Show     Referral

EXPERIENCE
Are you currently employed?
Yes     No

What is your current occupation?

Do you have any previous experience operating a business or franchise?
Yes     No

If so, what type of business?
Owner     Manager

What strengths do you possess that will enable you to be successful in your own business? (Top 3)
Strength #1:
Strength #2:
Strength #3:

TIMING AND DECISION MAKING
When would you like to open your business?

How long have you been looking for your own business?

Where would you like to open your business?
As Above     First available Location
Other Location:

How much time are you willing to commit to your new business?
Hours per week

How are you planning to run your business?
Sole owner     Partnership     Family run     Absentee

FINANCIAL DATA
Your current salary is: (Please check one)
$0 - $25,000     $25,000 - $49,999
$50,000 - $99,999     $100,000+

What is the amount of capital you may invest in an End Of The Roll?
$

Comments:

Verification Code:
(enter the letters and numbers into the box below)
Verification Code

You can return this form via e-mail by pressing the "SUBMIT" button above,
or print it and submit it via fax or mail to the following location:

End Of The Roll - Corporate Office


#206 - 7565 - 132 St, Surrey, BC, Canada V3W 1K5
Phone 1-604-596-7822 Fax 1-604-596-7825