Franchise Information Request

To begin, fill out the online form and press the submit button at the end of the form (You must be connected to the Internet
to submit electronically). If you prefer to call us, we would be happy to answer any of your questions and discuss the requirements in starting a Central Bark® Doggy Day Care franchise with you. Feel free to contact us at 1.866.799.2275 or
via email at franchiseinfo@centralbarkusa.com if you have additional questions.

This online “Request for Information” is not a Franchise Agreement, nor an offer or solicitation to enter into a Franchise Agreement or business opportunity with Central Bark®.

Please Tell Us A Little About You

Your Name *:

Spouse Partner/SO Name:

Address *:

State *:

Home Phone *:

Office Phone:

City *:

Zip *:

Cell Phone *:

Best Time To Call:

Email Address *:

Marital Status:

How Did You Hear About Your Franchise of Interest? *

How Long Have You Been Looking For a Business? *

What Other Businesses Are You Looking At?

How Many Hours a Week Will You Commit To
Your Franchise? *

Your Employment Information

Current Employer *:

Address:

City, State, Zip:

Title *:

Years There *:

Annual Salary *:

Brief Description of Duties *:

Spouse/Partner Employment Information

Current Employer *:

Address:

City, State, Zip:

Title:

Years There:

Annual Salary:

Brief Description of Duties:

Financial Assets

Cash on hand or in banks *:

Loans to Others /Receivables:

401K Plan *:

Stocks, Bonds, Money Market *:

Real Estate Primary *:

Real Estate Additional:

Automobiles *:

Other Assets:

Details Of Other Assets:

Total Assets *:

Capital Available to Invest *:

Source of Capital:
*Required Minimum Liquidity Depends on Franchise Chosen Requirements

Financial Liabilities

Notes payable to banks (Non-Real Estate) *:

Notes Payable to Individuals *:

Total Credit Card Debt *:

Vehicle Loans Total *:

Home Mortgage *:

Other Mortgage:

Student Loans *:

Other Liabilities *:

Details Of Other Liabilities *:

Total Liabilities *:

How Many Months Can You Support Yourself & Family Without Taking Money From The Business? *

Will This Be Your Sole Source of Income? *

Miscellaneous

When Would You Like To Open Your Franchise?

Where Would You Like To Open Your Franchise? Please enter City and State *

Choice One *:

Choice Three *:

Choice Two *:

 

Have You Ever Filed For Bankruptcy? *

Have You Ever Owned a Business Before? *

Have You Ever Been Convicted of a Felony? *

If You Answered Yes To Any Please Describe Briefly

What do You Feel are 3 of Your Top Strengths? *

What do You Feel are 3 of Your Toughest Challenges? *

Any Questions or Comments?

For Verification Purposes Please Enter Your Zip Code *:

I understand that this profile is not a contract and is in no way binding on the part of any franchise you are considering or myself. I have supplied all information to the best of my ability and understand that most franchises Rely on this information in assessing my qualifications.

Thank you
RUT-ROH!