Toarmina's or Palermo Pizza Franchise Information Request Form

Franchise Information Request Form

Please complete this form and submit it to Toarmina's Inc. The information you provide us and the information we provide you is for our mutual consideration of you becoming a Franchisee of Toarmina's or Palermo Pizza. All information shall be held in strict confidence. The submittal of this form does not obligate you, or Toarmina's Inc, in any manner.

All fields denoted by * are required information. Your information request will not be
processed without this information.

   *Date: -- mm/dd/yyyy

Please provide the following contact information:

*Name
*Street address
Address (cont.)
*City
*State
*Zip/Postal code
*Home Phone

Business address
Address (cont.)
City
State
Zip/Postal code
Alternate Phone
FAX
*E-mail

*Date of Birth: -- mm/dd/yyyy

*Driver's License Number:

*Social Security Number:

*Do you have an area preference for developing your Toarmina's or Palermo Pizza Franchise?

(Please list by City, State)

*Are you interested in developing a multi unit area?

(Please list Cities, States)

 *Timetable for beginning your Toarmina's or Palermo business?

Immediately
Within 6 - 12 months
After 1 year

How many units are you interested in developing?

*Do you have restaurant management experience?

Yes     No

If yes, please provide brief details:

*How do you plan to manage or operate this business?

Full time
Hire a manager
With a partner
 Other

*If with a manager, please provide an overview of that person's background:

       

*Have you ever plead guilty, no contest, or been convicted of a felony or misdemeanor other than a minor traffic violation?

Yes     No

*If yes, state details (violation, date, court disposition):


*Have you as an individual, or as a principal of a corporation, ever been adjudicated as bankrupt?

Yes    No

*If yes, state details.


*How much liquid capital do you have available to invest in a Toarmina's or Palermo Pizza Franchise?

$10,000 - $25,000
$25,000 - $50,000
$50,000 - $100,000
$100,000 and up

Thank You For Your Interest in Toarmina's or Palermo Pizza!

**Toarmina's Inc. suggests that any new franchisee have a minimum of $25,000 in available cash and have a net-worth of at least $75,000.

The investment required to open an individual Toarmina's or Palermo Pizza franchise store ranges from approximately $40,000 to $90,000 excluding working capital.