Franchise Application

Name*
First Last
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Cell Phone
What is the best time to contact you?*
Do you prefer Email or Phone contact?*

Do you intend to have a partner in this fanchise?*
- Yes
- No
Partner's Name*
First Last
Partner's Relationship to you
How will your partner contribute to Kekuli Cafe? List any experience he/she may have that may help you run a franchise*
How did you hear about Kekuli Franchising*
If Other, how did you hear about Kekuli Franchising?
Tell us a little about yourself*
Can you devote full time to your Kekuli Cafe Coffee House?*
- Yes
- No
Do you or your partner own another business?*
- Yes
- No
Please describe your other business
Are you planning to continue to work full time in you prensent business?*
- Yes
- No
Preferred location for your franchise*
City, Province
Other preferred location for your franchise
City, Province
Other preferred location for your franchise
City, Province
Other preferred location for your franchise
City, Province

Your current employer*
Job Title*
Company Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date Started*
Date Format: MM slash DD slash YYYY
Salary*
Description of your responsiblites*
Have you ever been self employed?*
- Yes
- No

How do you plan on financing the franchise?*
Approx, when are you financially ready to start a Kekuli Franchise?*
Please explain your source of income how you will fund your Kekuli Coffee House Franchise*
Please explain loans from financial institutions, to fund your Kekuli Coffee House Franchise.*
Please list the contact info and name of financial institution(s) you will be getting any loans from*