Information Request Form

To support you during the process of decision-making in the run-up to setting up your own franchising business, you will receive all information commonly accepted for reputable franchising systems by means of the “short note for franchisees” (valid as of 09.08.2012). Likewise, we rely on information about your personal background to discuss the aspects of you entering the system.

We therefore kindly request you to fill in the information request form. All data will, of course, be treated in strict confidence and will only be used in connection with a possible franchising partnership. Your enquiry will not result in any financial obligations.

    Personal Information

    Your Name (required)

    Your E-Mail-Adress (required)

    Street adress (required)

    Postcode/City (required)

    Telephone private (required)

    Telephone business (required)

    Marital status (required)

    Number of children (required)

    Age of children (required)

    Health restrictions (required)

    Other information

    Professional Information

    Highest level of qualification (required)

    Profession/s (required)

    Career(required - Please give a brief description of your professional career, including dates)

    Sales experience(required)

    Experience as business owner (required)

    Financial information (All amounts stated as €))

    Your net income during the last 12 months from:

    Salary (required)

    Capital assets (required)

    Real property assets (required)

    Other (required)

    Total (required)

    Upon starting the business:

    Hereof (required)

    Assets per: (required)

    Available equity (required)

    Securities (required)

    Saving schemes (required)

    Surrender values of life insurance (required)

    Claims from: (required)

    Real property assets / building plots: (required)

    Real property assets / houses: (required)

    Real property assets / condominiums: (required)

    Sales value per: (required - please indicate year and amount)

    Registered mortgages: (required)

    Other assets per: (required - please indicate year and amount)

    Liabilities

    Loans (required - Please indicate all information relating to your loans: name of the loan, contract value, reason for the loan, balance per)

    Annual loan repayments (required)

    Existing obligations from contracts, guarantees, etc. (required)

    Existing obligations from taxes (required)

    Total annual private expenses
    (required - Please consider irregular expenditure such as repairs, holidays, purchases, etc. alongside regular monthly expenditure)

    Bank details (required)

    Other information

    Desired location (required)

    Alternative location  (required)

    Desired date for starting the business (required)

    Business premises available: (required)

    Anything else we need to know: (required)

    Do you have any more questions? (required)

    I hereby certify that all above mentioned information as part of the contract negotiations is complete, up-to-date, and made to the best of my knowledge and belief. I am aware of the background and significance of this information with regard to the conclusion of a contract and a possible funding of the project.