Franchising

Franchisee Enquiry

Franchise Application Form
This application does not obligate either party in any manner

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Date:*
Current proposed structure?*	Sole Trader Partnership Company

Applicants Details: If the Applicant is a Company please complete the details below
Name of Applicant:		A.B.N.:
Registered Address:
Business Address:
Telephone No:		FAX:

Applicants Details: Please complete the information below for all individuals (including all directors if the Applicant is a Company)

Individual 1:

Title:*
Last Name:*
Middle Name:
First Name:*
Telephone: (Day time)*		After hours:*
Mobile:
FAX:
Address:*		Mailing Address:
State:*		Mailing State:
Postcode:*		Mailing Postcode:
Email:*
Drivers License:*		Place of Issue:*
Date of Birth:*
Ownership of Business:*	%
Marital Status:*
If married will t he spouse be active in the business?	Yes No
Spouse's Name:
Other Directorship/Business Interests (name of company/business and address):

Personal and Trade Qualifications, Degrees or Diplomas:

Formal training in Sales or Management:


Individual 2:

Title:
Last Name:
Middle Name:
First Name:
Telephone: (Day time)		After hours:
Mobile:
FAX:
Email:
Drivers License:		Place of Issue:
Date of Birth:
Ownership of Business %	%
Marital Status:
If married will the spouse be active in the business?	Yes No
Spouse's Name:
Other Directorship/Business Interests (name of company/business and address):

Personal and Trade Qualifications, Degrees or Diplomas:

Formal training in Sales or Management:


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I have read the Magnetite Franchise Application Declaration