Request Franchise Information

JIMMY'S EGG REQUEST FOR FRANCHISE INFORMATION

Please complete the following form if you are interested in receiving more information about the Jimmy's Egg Franchise Program. Please complete all required fields truthfully and to the best of your ability.

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Work Phone*
Cell Phone*
Fax
Email*
How many years have you lived in this area?*
Current Employment/Business?*
Years Employed/Working here?*
Current Title/Role/Position?*
How did you hear about Jimmy's Egg Franchise?*
Where do you want to locate your restaurant?*
Do you currently live in this location?*
If you answered NO, please explain why you want to open a restaurant in this location?*
Have you ever worked in the restaurant industry?*
If YES, please explain in detail.*
Do you have any multi-unit restaurant or retail experience?*
If YES, please explain in detail?*
Do you have any retail experience?*
If YES, please explain in detail?*
Are you ready to open your restaurant now?*
Total Liquid Asset Value in USD $:*
Total Tangible Assets in USD $ (real estate, cars, etc.):*
Total Assets in USD $ (Liquid + Assets):*
Total Liabilities in USD $:*
Total Net Worth in USD $ (Total Assets - Total Liabilities)*

I understand that the information I will receive from Jimmy’s Egg Franchise Systems, LLC is highly confidential, and has been developed at a great deal of time, effort, and expense by the Company, and is being made available because of this Franchise Application and that the information I will receive will be held in the strictest of confidence. I agree that I will not divulge or use any proprietary or confidential information or data, which may be made available to me, and/or my associates without written authorization from Jimmy’s Egg Franchise Systems, LLC or without benefit of a franchise. I further understand that the filing of this Franchise Application does not obligate me to buy a franchise, or for Jimmy’s Egg Franchise Systems, LLC to issue me a franchise.

By submitting this online application I’m agreeing to all of the terms, conditions, and authorizations & acknowledgements herein.