FRANCHISE APPLICATION

*First Name:

*Last Name:

*Phone:

*Email:

Where would you like to operate your Scooter's Coffee Stores?

*City:

*State:

*Country:

*How did you hear about us?:

Do you and/or your partners meet the financial requirements?

*Net Worth ($500k):

*You will need at least $150K in liquid capital. Do you and/or your partners have the ability to raise these funds?:

*I am interested in (please select one):

*Have you ever pursued or been involved in a franchise opportunity?:

Which Brand?

*(Fill in):

*Have you and/or your partners operated multiple retail or food stores?:

What Type?

*(Fill in):

*Do you have proven leadership and experience?:

*Please Describe (fill in box):

*Describe relevant experience that can support the operations and development of multiple stores (Fill in box).: