Franchise OPPORTUNITIES

CONFIDENTIAL Franchise PRE-QUALIFICATION QUESTIONNAIRE

Take a few minutes to complete our franchise pre-qualification confidential questionnaire. Completing this questionnaire does NOT obligate you to any franchise or any franchise to you. If you have any questions regarding the completion of this form contact us at 321-234-0816.

First Name *

Last Name *

Street *

City *

State or Province,Country *

Zip or Postal Code *

Email *

Cell Phone *

Home Phone *

Business Phone

Fax

Country of Citizenship *

Desired Location *

Purchase Time Frame *

Date *

Spouse’s Name *

Is Spouse Employed? *

Yes

Business Partner(s) Name(s) *

Rent or Own a home *

Highest Education (level) *

Education Major *

Credit Score *

Are you Currently Employed? *

Yes

Describe Position Held *

Full or Part Time Ownership in New Business? *

Amount in your Retirement Funds (401K + IRA)? *

Amount to Invest in a new Business Opportunity *

Net Worth *

0

Have you performed water damage or mold remediation before?

Select License Model of interterest: Small projects, Large Projects

What Quarter of the year would you want to open your licensed location? *

What county would you want to open your licensed location? *

What License or Franchises have you already considered? *(Specify their names)

Net Worth Calculator (Estimate to nearest dollar)

Assets

Cash in Bank

Cash In Savings

Stocks, Bonds, Mutual Funds

Total Retirement (IRA+ 401K)

Primary Home Market Value

Other Real Estate Market Value

Business Value

Money Due You

Other Assets

Total Assets

0

Liabilities

Total Credit Cards Debt

Total Auto Loans Debt

Total Student Loans Debt

Home Equity Line of Credit

Primary Mortgage Debt

Second Mortgage Debt

Other Real Estate Debt

Total Account Charge Debt

Other Debts

Total Liabilities

0

TOTAL NET WORTH = Assets – Liabilities:$

0

Lanstar USA respects your privacy. Your information will never be shared, rented or sold to any 3rd parties. The information you submit is only provided to franchise opportunities for which you have requested additional information.

By clicking the submit button you certify that all of the information stated herein is a true and correct representation of your personal and financial condition. It is understood that the purpose of this questionnaire is to compile general information so we may help you and that is in no way binding upon either party.

Inquiries

For any inquiries, questions or commendations,
call us or fill out the contact form

321-234-0816

contact us

corporate location

321-234-0816

4701 Old Canoe Creek Rd. Unit 701377, St. Cloud, Florida 34769

clientservices@lanstarusa.com

To apply for an employment position with Lanstar, please send a cover letter together with your C.V. to: employment@lanstarusa.com