Delicado's

Request for Consideration

Thank you for your inquiry about a Delicado's franchise opportunity. Completion of this Request for Consideration will tell us more about you. Submitting this form does not obligate you in any way and all information will be held in strictest confidence. You can mail this Request for Consideration to: Delicado's Enterprises LTD, 358 Wesley Street, Nanaimo, B.C. V9R 2T6, attention Wes Strickland.

Personal Data (a copy of this form must be completed by all financially participating parties)

Name:_______________________________________________________________
Home Address:_______________________________________________________________
City:_______________________________________________________________
Province:_______________________________________________________________
Postal Code/Zip Code:_______________________________________________________________
SIN / SSN:_______________________________________________________________
Date of Birth:_______________________________________________________________
Marital Status: Married ___ Single ___
Home Phone:_______________________________________________________________
Business Phone: _______________________________________________________________
Fax:_______________________________________________________________
E-mail:_______________________________________________________________
May we contact your business phone? Y/N
Best time to reach you: _______________________________________________________________

Education Background

High School: _______________________________________________________________
University/College: _______________________________________________________________
Diploma/Degree: Y/N
Name of Diploma/Degree: _______________________________________________________________

Business and Employment History

Have you, or do you currently own your own business? _______________________________________
If so, what type of business? ________________________________________________________
Work Experience

Company:

Title/Position:

Annual Income:

_______________________________________________________________________

___________________________________________________________________________

General Information

Please tell why you are looking for a business opportunity:

_______________________________________________________________________________

How long have you been looking for a business opportunity?

_______________________________________________________________________________

Are you looking at other franchise opportunities? Y/N

If Yes, which ones?

_______________________________________________________________________________

In what city and province would you like to locate your Delicado's Restaurant?

1st Choice _______________________________________________________
2nd Choice _______________________________________________________
3rd Choice _______________________________________________________

How did you first learn about us?

Magazine Advertising ___
Newspaper Advertising ___
Visited Delicado's Store ___
Newspaper Article ___
Radio Advertising ___
Other ___

Financial Information

Would this business be your sole source of income? Y/N

If “No”, what other source of income would be available to you?

Amount?

Current Net Worth: (estimated in 000’s) _________________________
Amount of Cash available for investment: _________________________
Equity in Real Estate: _________________________
Amount you are prepared to invest in your own business _______________

If the estimated start-up funds are not available, where will the funds come from to meet these requirements?

Bank loan ___
SBIL ___
Personal Line of Credit ___
Mortgage ___
Family ___

When would you be interested in opening a Delicado's Restaurant?

Immediately ___
Within 3 months ___
Within 1 year ___

I am submitting this Request for Consideration to obtain further information about a Delicado's franchise. I understand I am under no obligation whatsoever.

Signature __________________________________

Date _______________________________

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