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Full Franchise Application
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Which franchise are you interested in?
*
Oxygen Truck
Hydrogen Van
Where did you hear about the H2GO® franchise ?
Search Engine
Trade Show
News Paper
Radio
Social Media
Magazine
Other
Email
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The email address you provide will be considered a business email address to be used by the Franchisor and/or its affiliates to communicate with you electronically in connection with this Application and any franchise purchase.
Name
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First
Middle
Last
Permanent Resident of
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Canada
USA
Other
Citizen of
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Canada
USA
Other
Gender
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Male
Female
Are you of legal age?
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Yes
No
Has a judgment / lien / bankruptcy been filed against you or have you been involved in any litigation proceeding within the last 7 years?
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Yes
No
What is the highest level of education you have achieved?
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College / University
Post Secondary
Other
Did you receive a degree from a college or university?
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Yes
No
Type of degree you recieved?
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Employment
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Self Employed
Employed
Who are you employed by?
Nature of Business
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Your Business Experience Level
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None
Moderate
Highly Experienced
Yearly income from current occupation
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Yearly income from other sources
Individual Liquid Assets (Cash, Stocks, etc.)
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Consider this value A.
Individual Fixed Assets (Home, Car, etc.)
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Consider this value B.
Individual Total Assets
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Please add values A + B together. Consider this value C.
Individual Liabilities (Mortgages, Loans, etc.)
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Consider this value D.
Your Individual Total Net Worth
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Please provide the value of C - D.
Would this business be your sole income source?
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Yes
No
If qualified, when will you invest in a franchise ?
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Now
Within 6 months
6 months to 1 year
1 year or more
How involved will you be in operating the business ?
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0%
50%
100%
In what country would you like to open your H2GO franchise?
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Canada
USA
Other
Will you have investors?
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Yes
No
Investor #1
First
Middle
Last
Partnership #1
Active
Silent
Ownership percentage #1
In the event you need to invest more capital in the franchise, how much could you invest and where will it come from?
Will anyone assist you in operating the franchise? What are their qualifications?
What skills do you have that you believe will make you a successful franchisee? Do you, your partner or spouse have experience working in or operating a business comparable to this franchise?
If some unforeseen event occurred that would prevent you from operating the franchise, who would you depend on to replace you?
What are the major concerns you might have about being successful? Have you considered anything that could go wrong?
Do you have any suggestions or ideas for promoting your franchise once you’re open? Any contacts or networking you can use to help generate business?
What makes you believe that you will be successful with your H2GO Franchise?
Agreement
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I have read the above disclaimer.
Applicant's Typed Name
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Type name to indicate consent. Signature required at time of sale.
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