FRANCHISE APPLICATION

Name of Applicant: *

Date of Birth *

Marital Status: *

Home Address *

City *

Province *

Postal Code *

Home Phone *

Cell Phone *

Email *

Business Address *

City *

Province *

Postal Code *

Business Phone *

If you have lived less than 5 years at your current address, please provide former address(es): *

Are you a citizen of Canada? *

Are you legally entitled to work in Canada? *

Do you have previous work experience in the food industry? *

Do you currently have ownership or are you employed by Food Services based Franchise/ Company? *

If “YES”, please provide details *

Will you run this business yourself?

EDUCATION: *

Did you Graduate? *

Address *

EMPLOYMENT HISTORY: *

Please provide the information in the table below for your last 5 years of employment history, starting with the most recent employer.

Type of Business *

Name of Supervisor *

Supervisor’s Phone *

Salary *

Position *

PERSONAL NET WORTH: *

REFERENCES (Please provide 2 References) *

Address *

Occupation *

Phone No. *

Years Acquainted *

REFERENCES 2 *

Address *

Occupation *

Phone No. *

Years Acquainted *

GEOGRAPHIC AREA OF INTEREST: *

SECOND CHOICE: *

THIRD CHOICE: *

MISCELLANEOUS INFORMATION: *

Do you expect to devote your full-time attention to this business? *

If not full time, how often? *

Will you employ a full time Manager? *

Are you related to any Director/ Employee or Franchisee of Mamma’s Pizza?

If “YES”, please provide details: *

Do you or your Employer have a business relationship and supply goods or services to Mamma’s Pizza?

If “YES”, please provide details: *

Will you be operating this Franchise as a Corporation/ Partnership?

If “YES”, please provide details: *

ACKNOWLEDGEMENT, AUTHORIZATION AND RELEASE:

The Applicant understands that submitting this application does not bind or commit Mamma’s Pizza to accept him/her as a Franchisee. The Applicant authorizes Mamma’s Pizza and their respective agents to start an investigative report including credit investigation based on the information voluntarily provided to them.

The Applicant hereby certifies that the information contained in this Franchise Application including the financial statements and any additional pages submitted are true and complete and that Mamma’s Pizza may consider this statement as true and complete until further written notice of change is provided to Mamma’s Pizza.

Furthermore, Mamma’s Pizza and its agents are authorized to make any and all inquiries as it deems necessary to verify the accuracy of the information submitted in this application and financial statements. Mamma’s Pizza may conduct any additional background and financial investigation.

Applicant, for him/herself and on behalf of any partners or shareholders, hereby agrees to hold Mamma’s Pizza, its parent, subsidiaries, affiliated directors, employees, and agents harmless and indemnify each of them from any and all claims, liabilities, damages, expenses, including legal fees and costs which may arise or in a way be connected with information supplied by applicant or others, including the verification by Mamma’s Pizza and its agents of any such information.

Name: *

Date: *

Signature: *

It is the policy of Mamma’s Pizza to make no discrimination in granting franchise because of Race, Color, Religion, Age, Sex, Ancestry, National Origin or Marital Status, of the presence of a disability or handicap that is not related to operating a Mamma’s Pizza.

Call us: 310-MAMMA (6266)

FRANCHISE APPLICATION

ACKNOWLEDGEMENT, AUTHORIZATION AND RELEASE:

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