First Name
Last Name
Address
City
State/Province
Zip/Postal Code
Country
Telephone
Cell Phone
E-Mail
Company Name (If Applicable)
Company Web site (If Applicable)
May we contact you at the telephone number provided	Yes No
What is the best time for us to contact you?
What is your age range?
Do you have any experience in the franchise industry?
Do you have any experience in the tattoo or body are industry?
Why are you interested in a Bodyco franchise opportunity?
What skills or knowledge do you have that you believe will make you a successful Bodyco franchisee?
Please provide details of any management or business experience you have had.
Have you ever owned your own business?	Yes No
What is your current occupation or business?
Have ever been convicted of a serious crime?	Yes No
Are you involved in any pending litigation?	Yes No
Are you currently or have you ever been declared bankrupt?	Yes No
What type of franchise opportunity are you interested in?
What is your timeframe for becoming a franchisee?
How much money do you have to invest in the franchise?
Do you plan on obtaining a loan or other financing to start the business	Yes No
Which specific geographical area(s) are you interested in opening a bodyco franchise?
Have you already identified suitable possible locations for the business?	Yes No
Are you going to play a fully active role in the franchise?	Yes No
Will anyone else be involved with the franchise business?	Yes No
I certify that I am at least 18 years of age	Yes No
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*Terms and Conditions
I understand that the submission of this application does not obligate me or BodyCo Inc. in any manner, nor does it imply that there is any legal or commercial relationship between us. I further understand that BodyCo Inc. has the sole right to approve or disapprove the Application for any reason it may determine, and in the event that BodyCo Inc. disapproves the Application, BodyCo Inc. shall have no liability or ongoing obligations to me.
I certify that the information contained in this Application is accurate and complete. BodyCo Inc. is authorized to investigate my background as it pertains to my qualifications. I further authorize BodyCo Inc. to obtain a credit report and obtain any other information about my credit history as it deems necessary to evaluate my suitability as a potential BodyCo franchisee.