THE PHILLY FRANCHISING COMPANY
120 Interstate N. Parkway E. Suite 112
Atlanta, Georgia 30339-2103
Fax: (770)952-3168

CAUTION: Using the ENTER key or SPACEBAR will send us an uncompleted e-mail.
Please use your MOUSE or the TAB key to move from box to box. Thank You.

E-mail address (REQUIRED)

Last Name     First Name    Middle

Address   Suite/Apt.#   City   State   Zip Code

Telephone#(resident)    Telephone#(work)    Fax#

Preferred Number to Call (resident/work/cell)

Best Time to Call

Date of Birth    Place of Birth     Country

Spouse's Name First Name Middle

Education

Current Employer      Place

Position     How long(yrs)     How long(months)

Previous Employer(1)    Position From to

Previous Employer(2)    Position From to

Restaurant Experience If yes, please describe

Franchise  Business Experience If yes, please describe

Objective
Active Franchisee:  Yes  Full Time  Part Time  No
Active Spouse:  Yes  Full Time  Part Time No

Single unit  Multi unit

Timing months                      Preferred area

Current Income: Applicant's annual net salary $

Current Income: Spouse $              Other $  

Estimated Assets: Cash on hand for the projected investment $

Liquid Assets $

Net Equity in Real Estate as usable collateral for eventual business loan $

Describe your intended financing structure for the Philly Connection® franchise project:

 

Projected franchise legal entity form: Individual  Partnership(1)  Corporation(2)

1)Please complete a Preliminary Application for each partner and indicate the partnership name,
state of registration and your position.

2)Indicate your position in the corporation, its name, legal form, principal address and
state of registration.
 

ANY INFORMATION YOU WOULD LIKE TO ADD:


*Please note there will be an error in the submission of this Application
  if the E-mail address box (at top) is not completed. Thank You.
 

This Franchisee Application DOES NOT obligate either the Applicant or the Philly Franchising Company in any matter. By submitting said Franchise Application, either electronically or by any other means, the Applicant and/or the Philly Franchisee Company unconditionally and unmistakably DO NOT enter into ANY contractual, equitable, moral or legal obligation to one another. The submission of the Franchise Application is solely and only for the purpose of the Philly Franchising Company to evaluate the applicant's candidacy to become a potential Philly ConnectionÒ Franchisee. All information submitted by Applicant remains Strictly Confidential.