YOU MUST BE OVER THE AGE OF 18 TO COMPLETE THIS FORM. Fill out this form completely. A representative from Pretzelmaker Canada will be in contact with you to further discuss the franchising opportunities that are available. Fields marked with * are mandatory.

THIS IS NOT AN APPLICATION FOR A FRANCHISE AND IS FOR INFORMATION PURPOSES ONLY. It is, however, understood that the information contained herein has been supplied to the best of your knowledge and ability. All information will be held in the strictest of confidence.
 
*First Name:
*Last Name:
*Street Address:
*City:
*Province:
*Postal Code:
* Home Phone:
(please include area code)
* Business Phone:
(include area code, extension)
Fax:
(include area code)
*Email:
*Occupation:
*Annual Income:
   
*Concepts of Interest:
Mrs. Fields Pretzelmaker
   
Assets:
 
cash:
stocks/bonds/CDs:
real estate:
your own business?:
total assets:
- total liabilities:
* = net worth:
   
Geographical Interest
1st Choice:
2nd Choice:
3rd Choice:
   
*Will you have a financial or managing partner?
  Yes No
*Comments:
*required