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Please take your time and fill in the details. This form is to help us understand your goals and ambitions so we can help you succeed.
First Name*
Last Name*
Date Of Birth*
Your Email*
Your Address*
Your City*
Your Province/State*
Your Country*
Your Contact Number*
Marital Status*
Spouse's Name*
Number Of Dependants*
Ages Of Dependents*
Please provide a general description of your personality*
..........EMPLOYMENT HISTORY..........
Most Recent Position:
Company:
Time In position:(years)
Duties:
Previous Position:
Have you ever owned a business? yes No
If yes, what type? Other business affiliations (officer, director, partner, etc.):
..........BUSINESS MANAGEMENT GOALS..........
Do you plan to devote yourself full-time to THE original basket boutique franchise? YES NO
Will your spouse play an active role in the business? YES NO
Do you plan to have partners? YES NO
Projected date to open THE original basket boutique location:
Location Preference:
What are you short–term and long–term business goals?
..........PRELIMINARY FINANCIAL DISCLOSURE..........
Assets:
Liabilities:
Net Worth: Unencumbered liquid assets available: Equity: Personal Residence: Other Real Estate: Income you expect to gain from your original basket boutique franchise:
.........OTHER INFORMATION..........
Please list the skills and attributes that you own that will help you to successfully operate an Original Basket Boutique franchise?
Help and ongoing support will be available to you from day one. Please tell us what areas of operating your new nosiness you think that you will need the most help with?
Please tell us the attributes and skills that you would like to see in us.
Please tell us what you hope to earn from the business in the first year.
In the first three years?
In the first five years?
REFERENCES
Reference #1 Name & Occupation Address Telephone
Reference #2 Name & Occupation Address Telephone
ADDITION INFORMATION
Please list hobbies,special interests and professional development courses taken:
Additional information that you would like to share with us in evaluating your request for consideration:
Any Other Comments
Terms and conditions. The information contained in this statement is provided for the purpose of obtaining or maintaining credit with you. The undersigned represents and warrants that the information provided is true and complete. The signature below gives authorization for THE original basket boutique to obtain any information regarding financial or credit information. The OBB Global Trust Consent To Collect, Use, and Disclose Personal Information I authorize The OBB Global Trust franchise to collect, use and disclose my personal information for the following purpose: To provide goods and services requested: to establish and maintain responsible commercial relations with customers and to provide ongoing service; to understand customer needs and preferences; to develop, enhance, or market products and services; to manage and develop our business and operations; to meet legal and regulatory requirements; to evaluate the customer’s creditworthiness or to collect the customer’s account, such further reasonable purposes as may be determined by us from time to time. I understand that I may decline or object to having my personal information collected, used or disclose for the above purposes. I also understand that I may revoke this consent at any time by submitting a written notice. Should you have any questions regarding our collection, use, or disclosure of your personal information, please contact our Privacy Officer at 08.9417.4681 or info@obbgifts.com.
Agree with terms and conditions yes No
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