September 7, 2010
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Confidential Franchise Application And Evaluation Form

Please complete the following "Confidential Franchise Application and Evaluation Form" and return it to us either by completing the online version or by mailing or faxing it to us at the address or fax number specified on the printable version of the application form. The printable version of the application form is available by clicking here.

All of your information will be held in the strictest confidence and it is understood that neither party will be under any obligations.

Franchise Opportunities Reference


Personal Information











Current Employment





Spousal Information



Business History

Start with latest employment.

Position 1





Position 2






Position 3





Position 4





Business References


Personal References


Bank References

 


Financial Information


Networth Statement

 
















General Information



















Certification

I hereby certify that the information given in this application is true, correct and complete to the best of my knowledge and belief.

I hereby consent to the use, collection and retention by Smitty's Canada Limited of my personal information contained in this application for the purpose of conducting background checks on me, including without limitation and assessing my suitability as a Smitty's franchisee.

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