Application Form (Multi-page)

Step 1 of 5

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Personal information

Name(Required)

First Middle Last

Mobile Number(Required)

Email Address(Required)

Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth(Required)

MM slash DD slash YYYY

Are you a US Citizen?(Required)

Yes

Please explain citizenship status(Required)

Spouse's Name (if applicable)(Required)

Number of Dependents (if applicable)(Required)

Why do you want to start a PostNet franchise at this time?(Required)

Business Experience

Please include business experience for the past 5 years (minimum).

Experiences(Required)

From

Company Name and Address

Position

Annual Income

Summary of Business Experience(Required)

Professional Certifications (if applicable)

How will your skill-set and background translate into becoming a successful PostNet entrepreneur?(Required)

Education

Type

Name

City & State

Course of Study

Years Attended

Year Completed

Did You Graduate?

Diploma or Degree

Military Service

Have you served in the Armed Forces?(Required)

Yes

If yes, what branch?(Required)

Type of discharge?(Required)

Dates of service?(Required)

Financial Information

Will you have a partner actively involved in the business?(Required)

Yes

If yes, what is their name?(Required)

Are you a defendant in any lawsuit or legal action?(Required)

Yes

Please explain:(Required)

Have you ever filed for bankruptcy?(Required)

Yes

Please explain:(Required)

Have you ever been convicted of a felony or misdemeanor?(Required)

Yes

Please explain:(Required)

Assets

Home Value(Required)

Other Real Estate(Required)

Automobiles(Required)

Other Personal Property(Required)

Liquid Funds (Cash)(Required)

Retirement Accounts (401K, IRA, etc)(Required)

Other Stocks and Bonds(Required)

Other Investments and Assets(Required)

Total Value of Assets (Automatically calculated from above)(Required)

Liabilities

Owed on Home(Required)

Owed on Other Real Estate(Required)

Owed on Automobiles(Required)

Owed on Other Personal Property(Required)

Owed on Credit Cards(Required)

Owed on Other Loans and Debts(Required)

Owed on Other Investments and Assets(Required)

Total Liabilities (Automatically calculated from above).(Required)

Net Worth

NET WORTH (Automatically calculated from above).(Required)

Current Monthly Household Income(Required)

Monthly Household Operating Expenses(Required)

Will your monthly income change if you invest in a franchise opportunity?(Required)

Yes

If yes, please explain how:(Required)

Do you plan on financing any portion of your franchise?(Required)

Yes

What method of financing are you considering?(Required)

Rate your overall computer skills, 5 being the highest(Required)

Rate your overall networking and sales skills, 5 being the highest(Required)

Rate your organizational skills, 5 being the highest(Required)

Signature(Required)

I hereby authorize PostNet International Franchise Corp., upon the execution of this consent form, to investigate the information contained in my application, and other background information, for the sole purpose of obtaining information relevant to my qualifications as independent franchisee thereof. I understand that this means I may be subject of a 'consumer report' from an outside agency, which report may contain information about my credit worthiness, credit standing, credit capacity, character, police and criminal records, general reputation, personal characteristics and mode of living, whichever are applicable. By signing below, I authorize PostNet to obtain or cause to be obtained, a consumer report upon receipt of this form or at any time during which I am a franchisee. PostNet is an equal opportunity company and does not discriminate against applicants with regard to race, color, gender, sexual orientation, age, religion, disability or any characteristic protected by applicable law. I understand that inquires on this application, which ask for my address and date of birth, are for identification purposes only. I understand that age is not considered in making decisions concerning independent franchisees. I release PostNet or its agents and any person or entity that provides information pursuant to this form any and all liabilities arising from any claims, lawsuits, or other actions in regard to the information obtained from any and all of the above referenced sources. I further agree that the giving of any false, misleading or incomplete information will be grounds for denial or termination. I agree on my own behalf to indemnify, defend and hold harmless PostNet, its parent, subsidiaries, affiliates, employees, agents and customers from and against any demands, claims, liability arising from the gathering and use of any information obtained from any and all of the above referenced sources. The above information is my true and complete legal name and all information is correct to the best of my knowledge. Please review our Privacy Policy for more information.

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Franchise Purchase Application (Multi-page)

Personal information

Business Experience

Education

Military Service

Financial Information

Assets

Liabilities

Net Worth

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