Are you ready to take the next step, be your own boss, and harness the potential and power of Ambiance Day Spa brand? If you would like to be considered for The Ambiance Day Spa franchise, please complete the following form. If someone other than you and a co-applicant will be involved in this opportunity, please have them submit the form as well. After we receive your application, a representative will contact you to schedule a preliminary phone meeting and provide more details on Ambiance Day Spa franchise opportunity. If you qualify, owning multiple day spa franchises is an option, as is ownership in rural and other specialized markets. All information will be held in the strictest confidence, and submitting the confidential franchise application does not obligate you in any way. * Required Fields
Name:
Zip Code:
Address:
Email Address:
City:
Home Phone:
State:
Business Phone:
SSN:
Years of Employment:
Company:
"Previous Business Information
Business
Address
Length
Title
Income
How long have you been looking for a business?
How did you hear about Ambiance Day Spa.?
Have you ever been convicted of a felony or other crime involving moral turpitude?
Yes No
If you answered "yes" please state the name and address of the court, and the date of conviction, and provide a brief description of the charges for which you were convicted:
Are there any judgments pending against you that have not been satisfied?
If you answered “yes,” please state the name and address of the court, and the date and amount of the judgment:
Have you ever applied for or obtained credit under another name in the past ten years?
What name(s)?
Are you currently involved as a defendant in any litigation or arbitration proceeding?
If you answered “yes,” please state the name of the court, and provide a brief description of the allegations against you and amount of the claim:
Please list at least three personal and three credit references, other than close relatives. Along with names and addresses of your personal references, you should include a brief description of you affiliation with this individual, his or her title or position and mention the length of your association. The banking reference should represent the same accounts that you provide on the following Financial Statement. We will use these banking references to confirm your current assets and financial situation.
Personal Reference
Brief Description of Affiliation
City, State, Zip:
Phone Number:
Banking or Brokerage Reference
In submitting this completed form, it is understood that I am under no obligation, but that Ambiance Day Spa. will provide more information on the opportunities available for a qualified individual to become a franchisee. I am interested in having my own business. If a review of the information indicates I have the qualifications to become a franchisee, I understand a one-day personal meeting may be required in Downtown TORONTO for a review of the requirements and opportunities. This section must be filled out as complete as possible.
Financial Information
Assets
US $
Accounts Receivable
U.S. Govt. Obligations, i.e. Govt. Bonds
Stocks, Bonds and Other Investments (Non-Retirement)
Retirement Accounts (IRA, 401(K), annuities)
Certificates of Deposit
Real Estate
Description (Home, Commercial)
Liabilities
Total Credit Card Balances
Mortgages or Liens on Real Estate
Income Taxes
Other Accounts Payable
Notes Payable to Banks – Unsecured
Notes Payable – Other than to Banks-Unsecured
Total Assets
Total Liabilities
Net Worth (Total Assets Minus Total Liabilities)
Legal Information
Would you be the sole owner of this franchise? (Please Explain)
Sole Proprietorship Business Partner
Will you have investment partners other than your spouse?
If yes, what will their involvement be?
If yes, what are their names?
Please have them fill out a separate application.
Franchise Information
Are the funds required for this business available to you?
How much of your current liquidity are you willing to devote to the start-up of this business?
Would you devote full time to this business?
If you were approved, when could you begin training?
Authorizations and Releases
I understand that Ambiance Day Spa. will be requesting information from various companies, financial and other institutions, credit reporting agencies, professional and academic certification law enforcement agencies, former employers, and the military, and I hereby authorize such entities to release any information that they may have about me to Ambiance Day Spa. and its agents and designees, and release them from any liability arising out of or related to their release of such information. I authorize all financial institutions holding funds or other property on my behalf or on behalf of any business entity in which I hold a beneficial interest, whether or not identified in this Franchise Application, to release all records including signature cards, statements and all documentation reflecting or wire the source of deposited funds, whether the funds were received in the form of cash, credit, electronic fund transfer. I also authorize Ambiance Day Spa. and its agents and designees to obtain such credit and other civil and criminal investigative reports as they consider necessary to evaluate this Franchise Application, and under-stand that these reports may contain information about my background, mode of living, character and personal reputation. This authorization is valid for any current and future reports and updates that may be requested.
I request a copy of my credit report I do not request a copy of my credit report
I further authorize Ambiance Day Spa. and its agents and designees to contact individuals or entities identified in this Franchise Application, or whose names arise in connection with the civil and criminal investigative reports described above for purposes of obtaining character references and verifying the information contained in this Franchise Application. I hereby authorize any individual or entity contacted by Ambiance Day Spa. or its agent or designee to provide all requested information, and release them from any liability arising out of or related to their release of such information.
I certify that I have carefully read the Franchise Application and it is complete, true, and correct in all respects. I have been advised and understand that any misrepresentation or inaccuracy in the information provided by me will be grounds for termination of any franchise that Ambiance Day Spa. may grant to me based on the information in this Franchise Application. Not withstanding this acknowledgement, I understand and agree that nothing contained in this Franchise Application obligates Ambiance Day Spa, to grant me a franchise.