wild bird centers of america, inc. - welcome to the …...fax to: (301) 320-6154 email to:...
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EMAIL TO: [email protected], FAX TO: 301-320-6154 OR MAIL TO THE ADDRESS BELOW.
Wild Bird Centers of America, Inc.7370 MacArthur BoulevardGlen Echo, Maryland 20812
Fax: [email protected]
Welcome to the first step on the path to opening your own Wild Bird Center!
C
ENTERS
W
ILD BIRD
®
CENTERS
W
ILD BIRD
®
Name:
Home address:
Home Telephone: OK to contact: Yes No; Best time to call: Work Telephone: OK to contact: Yes No; Best time to call: Cell Telephone: OK to contact: Yes No; Best time to call:
E-mail:
First Middle Last
Street Address
City State Zip Code
(mm/dd/yy)Date of Birth: Number of Dependents: Age(s) of Dependents:
Schools Attended Years Certificate or Degree Attained
Name of Company: Self-employed
Title: Website:
Address:
Employed from to Annual Salary:
Fax to: (301) 320-6154 Email to: [email protected] Mail to: Wild Bird Centers of America, Inc., 7370 MacArthur Blvd., Glen Echo, MD 20812
How did you first learn about the Wild Bird Centers of America, Inc.? Existing Franchise WBCA Website WBCA E-store Print Advertising
Other If other, please specify:_______________________________________________________________________
Have you visited a Wild Bird Center store? Yes No
If yes, which one(s)?
City State/Province When?
City State/Province When?
Have you owned a business before? Yes No A franchise? Yes No
Please describe:
1.
2.
3.
MM/ YY MM/ YY
CANDIDATE QUESTIONNAIRE
Spouse’s Name, if applicable:
Spouse’s Occupation:
Will your spouse/partner continue to work? Yes No
First Middle Last
TitleName of Company
Primary market area in which you are interested? City State Primary Zip Code
If the primary market area is not available, what other areas would you consider?
City State Primary Zip Code
City State Primary Zip Code
Are you interested in opening more than one franchise? Yes No
Would you be interested in purchasing an existing Wild Bird Center franchise? Yes No
Would you be willing to move to another area to purchase an existing franchise? Yes No
Do you expect to devote your full-time attention to your business? Yes No
If no, what percentage? %
Will you be responsible for the day-to-day operation of the business? Yes No
If not, who will?
Relationship to you?
Will your spouse or business partner assist you in the business? Yes No
If yes, how many hours per week will your spouse/partner assist you?
In what capacity?
If you anticipate having a business partner (other than your spouse), how many hours per week will he/she participate?
In what capacity?
Fax to: (301) 320-6154 Email to: [email protected] Mail to: Wild Bird Centers of America, Inc., 7370 MacArthur Blvd., Glen Echo, MD 20812
_________
What are your reasons for opening a Wild Bird Center store?
What are your personal, professional and financial goals as a Wild Bird Center franchise?
Please tell us about your past or present bird feeding experience.
Please tell us what skills and other experience will benefit you as a Wild Bird Center franchisee:
Please give a brief summary of experience for each skill area checked (e.g.: Retail, Sales Assistant, clothing store, [length of time])
Accounting Marketing Purchasing Customer Service
Fax to: (301) 320-6154 Email to: [email protected] Mail to: Wild Bird Centers of America, Inc., 7370 MacArthur Blvd., Glen Echo, MD 20812
Other (Please specify):
This statement lists your assets and liabilities as of (date)
ASSETS VALUE
Cash-on-hand and unrestricted in banks (Do not include IRAs and pension plans)
$
Publicly traded stocks, bonds, mutual funds and government securities $
Current value of personal residence owned $
Current value of other real estate owned $
Automobiles and other personal property $
IRA, 401(k), Keogh or other retirement/pension funds $
Other assets $
TOTAL ASSETS $
$
LIABILITIES $
Notes payable to banks $
Notes payable to others $
Mortgages payable on personal residence $
Mortgages payable on other real estate $
Auto Loans $
Credit Cards $
Other liabilities: (please list below) $
TOTAL LIABILITIES $
NET WORTH (TOTAL ASSETS MINUS TOTAL LIABILITIES) $
Please list the nature and amount of any contingent liabilities (as an endorser or co-maker, on leases or contracts, legal claims,
or provisions for federal income taxes).
Fax to: (301) 320-6154 Email to: [email protected] Mail to: Wild Bird Centers of America, Inc., 7370 MacArthur Blvd., Glen Echo, MD 20812
Are you physically able to lift inventory items that could weigh 40 pounds or more? Yes No
Are there any physical/health or personal concerns that you have regarding the operation of your franchise? Yes No
Please describe:
$$$$
DESCRIPTION AMOUNT
Your Annual Income: Spouse Annual Income: Other: Total:
Have you declared bankruptcy in last 7 years? Yes No
Please explain:
Will income from your franchise be supplemental or a sole source of income
If financing a portion of your business, is it through:
Friendly Loan (family, friends) Private Investors SBA or Provincial Loan
Secured Bank Loan Unsecured Bank Loan Other, please describe below:
If qualified, when are you ready to invest in your Wild Bird Center franchise?
0-3 months 4-6 months 7-12 months 13-18 months
By signing, I attest that my information the above is true and factual.
Printed Name:
Signature: Dated:
C
ENTERS
W
ILD BIRD
®
Fax to: (301) 320-6154 Email to: [email protected] Mail to: Wild Bird Centers of America, Inc., 7370 MacArthur Blvd., Glen Echo, MD 20812
MM/DD/YY