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Franchise Information Form To find out more about Printwear Xpress – or to get the franchise process moving forward – please use the application below to tell us a little bit more about yourself. You have our guarantee that your answers will be kept confidential, that they will not be shared with any third-party * Required information Please provide the following contact information: First Name  * Last Name  * Email  * Street  * City   * State AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces AfricaArmed Forces AmericasArmed Forces CanadaArmed Forces EuropeArmed Forces Middle EastArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States Of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code   * What is the best phone number to contact you (primary phone)?   * Alternate Phone Would you like to receive periodic emails regarding Printwear Xpress? YesNo Will you have partners besides you and your spouse? YesNo If so, please explain who will be partnering with you? How did you hear about the Printwear Xpress franchising opportunity? INTERNETMAGAZINEREFERRALSTORE VISITNEWSPAPEROTHER If OTHER, please describe... Please tell us about your background: Describe your business and/or professional background * Have you ever owned a business? YesNo If yes, please explain Have you ever owned a franchise? YesNo If yes, please explain Are you currently employed? YesNo If so, what is your current occupation? If currently employed, do you plan on keeping your current employment if you were to own a Printwear Xpress franchise? YesNo Have you ever declared bankruptcy? YesNo If yes, please explain Have you ever been convicted of a felony? YesNo If yes, please explain Please complete below explaining your financial information: Your Assets Cash 0-50,00050,000-100,000100,000-150,000150,000+ Stocks, bonds, mutual funds - non-retirement accounts 0-50,00050,000-100,000100,000-150,000150,000+ Stock, bonds, mutual funds – retirement accounts 0-50,00050,000-100,000100,000-150,000150,000+ Value of all real estate owned 0-250,000250,000-500,000500,000-1,000,0001,000,000+ Other Assets 0-25,00026,000-50,00051,000-75,00076,000+ Total Assets  * Please explain any assets you listed as "other" How much of your own money are you looking to invest in this franchise? Less than $80,000$80,000-$90,000$90,000-$100,000$100,000-$150,000Over $150,000 *A minimum of $40,000 in cash is required Is the cash available to invest immediately? YesNo If no, when will you have the necessary cash available to invest? Your Liabilities Total mortgages on all real estate 0-200,000200,000-400,000400,000-600,000600,000+ Other Liabilities Total Liabilities Please explain any liabilities: you listed as "other" Net Worth Assets minus liabilities  * Please tell us about your project: What area are you interested in owning a Printwear Xpress store  * Do you have a location identified? YesNo If yes, what is the status of the site or location? Have you made contact with a lender? YesNo What is your time frame to open? 1-3 Months3-6 Months6-9 MonthsOver 1 year Are you interested in a multi-unit development? YesNo Will you manage the store yourself? YesNo If no, please explain who will manage the store Are you exploring other brands? YesNo If yes, Please explain Any additional information you would want us to consider? As of today, based on what you know about Printwear Xpress, please rate your overall interest in owning a Printwear Xpress Franchise. I know all about Printwear Xpress finnancial requirements, and I want to open ASAP. I am very interested in owning my own business, but have never heard of Printwear Xpress. I am currently just looking around at several different business opportunities.

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