Company Name:

Contact Person: Phone#: Ext:

Address:

City: SelectALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPAPRRISCSDTNTXUTVTVAWADCWVWIWYN/A Zip Code:

E-Mail:

Industry:

# of Units - Corporate:Franchise:

Average Revenue of Store (for Past 3 Years):

Average Annual Earnings (before taxes per store for past 3 years):

Gross Margins (over past 3 years):

Average Size of Store/Unit:

Employees Per Location:

Cost to Open a Store/Unit:

Occupancy cost (including Rent & CAM) per unit:

Corporate overhead for past 3 years:

Competition:

Do you have a business plan?

Do you have an expansion plan?

How long have you been operating:

What makes your business unique: