Franchise Application – Grinner's Food Systems Limited

Personal Information

Name

Home Phone

Cell Phone

Business Phone

May we contact you at your business phone?

Yes No

Email Address

Residential Address

City

Postal Code

Date of Birth

Social Insurance Number (Optional)

Marital Status

Spouse's Name

Total Dependants

Will you have a partner(s) in this business?

No Yes

Have you ever been convited of a criminal offence?

No Yes

Language(s) Spoken:

English French Other

Language(s) Written:

English French Other

Personal Financial Statement

Please answer all questions using “no” or “none” where appropriate

Assets

Cash on hand

Registered Retirement Savings Plans

Other Pensions

Stocks and Bonds

Real Estate (Present Value)

Motor Vehicles (Current Value)

Cash Surrender Value-Life Insurance Policy

Other Assets

Note the items which you would convert to cash, if necessary, to meet the intial cash requirements for a franchise. Proof of values may be required at a later date.

Total Assets

Liabilities

Mortgages Against Real Estate

Vehicle Loans

Other Loans

Personal Taxes & Assessments Payable

Credit Card Amounts Owing

Other Liabilities

Total Liabilities

Net Worth

Total:

Liabilities subtracted from assets

Education

Laste year of school completed

Name of College and/or Post Secondary Institution

Degree(s) / Dimploma(s)

Describe any training in sales, management or retailing

Business Experience

Present Occupation

Position

Company Name

Business Address, City, Province, Postal Code

Date Started

Previous Business Experience

1.

Date Started

End date

Position

Type of Business

Company

Responsibilities

2.

Date Started

End date

Position

Type of Business

Company

Responsibilities

Authorization

TO GRINNER’S FOOD SYSTEMS LIMITED: I certify that the personal and financial statement of my property and debts is true. I declare that neither my spouse nor any other person has any claim to the assets shown except as set out therein. The whole of my property is shown at a fair valuation. I, or any company I own, is not being sued and there are no executions against me, nor do I owe anything to any other person or institution except as reported.

Due Diligence Authorization

AUTHORIZE GRINNER’S FOOD SYSTEMS LIMITED OR ITS REPRESENTATIVES TO OBTAIN SUCH FACTUAL, INVESTIGATIVE, AND FINANCIAL INFORMATION REGARDING ME, OR ANY COMPANY I OWN SHARES IN, FROM OTHERS, INCLUDING ANY CREDIT REPORTING AGENCY BANK, CREDIT GRANTOR, OR ANY OTHER PARTY WITH WHICH GRINNER’S FOOD SYSTEMS LIMITED HAS FINANCIAL RELATIONS. AS PERMITTED BY LAW, AND TO FURNISH SUCH PARTIES WITH PARTICULARS OF THIS APPLICATION AND TO RETAIN THIS APPLICATION FOR CORPORATE RECORDS. I MAY WISH TO INFORM MY BANK THAT GRINNER’S FOOD SYSTEMS LIMITED MAY BE CALLING TO CONFIRM MY FINANCIAL RESOURCES.

Confidential. This application does not obligate either party in any manner.

Applicants are not required to give any information prohibited by law. Our franchise policies are non-discriminatory regarding age,
color, sex, religion, national origin, marital status, race, or handicap.

Greco Pizza and 310-30-30 are Registered Trademarks of Grinner’s Food Systems Limited, used under license Capt. Submarine is a
Trademark of Cap. Sub Canada Limited, used under license.