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Franchise Application

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Franchise Application Franchise Application Thank you for your interest in Kahala brands! In order to properly evaluate your application, please provide us with all necessary information, sign, and return to Kahala. Attach any additional information such as a resume or letters of recommendation that you wish us to consider when evaluating your application. Should your discovery evolve to a franchise award please note we will require copies of (including but not limited to) bank statements. All information will be treated as confidential and does not obligate either party. Thank you for taking time to complete and return your application. 1. Please select each brand of interest. America’s Taco Shop ® Blimpie ® Cereality ® Cold Stone Creamery ® Frullati ® Great Steak ™ Johnnie’s ® Kahala Coffee Traders ® NrGize ® Pizza Fresh Take •N• Bake™ Ranch•One ™ Rollerz ™ Samurai Sam’s ® Surf City Squeeze ® Taco Time ® 2. Applicant Information Applicant Name Today’s Date Physical Address No.Years at Address State City Zip Date of Birth Social Security Number Email Phone Cell Fax Spouse’s Name Spouse’s Social Security Number School Date Attended Degree Obtained Are you currently a party to any legal action? If YES, explain How did you hear about us? Are you interested in a Ready to Own location or a New Build? If you’re interested in a New Build, what is the City and State of interest? If Ready to Own, please list the street address, City & State of the location How much time will you devote to the business? Do you have any previous restaurant or food experience? If YES, explain 3. Business Experience Current Employer No. Years Title Annual Salary $ Bonus $ Explain Duties and Responsibilities Previous Experience Employer, Title, Responsibilities Annual Income To $ To $ 4. References Please list at least three personal references whom we can contact. Name Address Phone No. Years Known Personal: Business: Business: 5. Financial Information Assets Liabilities Kahala Scottsdale, AZ© 2010.v042210 Franchise Application page 1 Cash on hand/ or in Banks $ Notes Payable/Loans $ Securities Annual Salary $ Real Estate Mortgages $ Receivables, Notes $ Accounts Payable/Bills $ Automobiles $ Due on Automobiles $ Personal Property, Art, Jewelry $ Other Debts, Obligations $ Real Estate $ List $ Life Insurance (cash value) $ ……………………………… $ Other Assets $ ……………………………… $ 401(k), IRA $ Total Liabilities $ Total Assets $ Annual Sources of Income Net Worth Salary $ Total Assets $ Dividends and Interest $ Less Business, Professional $ Total Liabilities $ Other Income (describe) $ = Bonus and Commissions $ Total Net Worth $ Real Estate Income $ Royalty, Profit Sharing $ Total Income $ Cash Accounts Name/Location of Phone No. Contact Type Account ID No. Balance Bank Real Estate Holdings Location Mkt Value Monthly Income Title in Name of Original Amt Present Payment Schedule Description Balance Securities/Investments Name of Issuer # of Shares Par Value Mkt Value Total Value Where Traded Pledged Name Reg. In (Y/N) Y N Notes Payable/Loans Name/Address of Maker Original Amount Maturity Date Present Collateral, if Any Balance Privacy Policy: Kahala is a multi-concept franchisor. The personal information you provide as part of your application may be shared with and between our affiliate brands. In addition, we may share your personal information with companies affiliated with us, vendors and partners as necessary for those companies, vendors and partners to perform business functions, such as fulfilling orders, assisting with promotions, providing marketing or advertising services, providing technical services for our website, etc. Except as described in this privacy policy, Kahala does not sell, transfer, or disclose personal information to third parties outside the Kahala brand portfolio. Kahala reserves the right to use or disclose any information as needed to comply with any law, regulation, court order or legal request, to cooperate in any law enforcement investigation or in connection with a sale or merger of all or part of Kahala, its parent or affiliates. Except as stated in this privacy policy, all correspondence from you with Kahala, its parent or affiliates, is considered non-confidential except to the extent that such correspondence is subject to a separate confidentiality or non disclosure agreement. If you have any questions about this privacy policy, please feel free to contact us. The Franchise Disclosure Document (“FDD”) is available to prospective franchisees in the following formats: (i) hard copy (paper); (ii) email with PDF attachment; (iii) computer disc; and (iv) download from website (Blimpie FDD only). FDDs obtained via email, computer disc, and the FranConnect website are collectively referred to as “electronic formats.” The prerequisite for obtaining an FDD in electronic format is that you must have access to a computer. Additionally, if you elect to receive an FDD via email or FranConnect’s website, you must have a valid email address. Kahala Franchising, L.L.C. will provide an FDD to a prospective franchisee electronically, via email message or computer disc. If you prefer to receive the FDD in hard copy, please initial here ________, and we will send a copy to you. To view the FDD in electronic format, which is PDF read-only, you will need Adobe® Reader. If you do not have Adobe® Reader, you may download a free copy from the following site: http://get.adobe.com/reader/. I certify that the information I have provided to Kahala is true and correct. I authorize Kahala to verify the information I have provided on this and any attached forms including, but not limited to, acquiring a credit verification report from a credit agency, acquiring a back ground check from a registered state agency, and to contact my named references and other sources for information about me. I hold Kahala, its affiliates, agents and employees harmless for any damages or liability arising either from the receipt or use of any information obtained through these sources I have provided. Signature Date Upon completing form, please fax, email, or mail completed and signed Application to: Fax: Email: Mail: New Locations Department: 480-362-4130 New Locations: Kahala [email protected] C/o Franchise Development Transfer Department: 480-362-4310 Transfer, Existing, or Ready to Own 9311 E. Via De Ventura Locations: [email protected] Scottsdale,AZ.85258 Kahala Scottsdale, AZ© 2010.v042210 Franchise Application page 2 .
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