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Add a Hut

Contact Information

id

date time

Name:

Email Address:

Street Address:

City:

State:

Zip:

Home Phone:

Work Phone:

Cell Phone:

Date of Birth:

Are you a U.S. citizen:

Yes

No

If no, state country of citizenship:

Have you ever been convicted of, or pled no contest to, a felony or misdemeanor other than a minor traffic violation:

Yes

No

If yes, please explain:

Financial Information

Current Net Worth:

$100,000 and Under

$100,000 - $200,000

$200,000 - $500,000

$500,000 - $750,000

$750,000 - $1,000,000

$1,000,000 - $1,500,000

$1,500,000 - $2,000,000

$2,000,000 and Above

Liquid Amount:

$100,000 and Under

$100,000 - $200,000

$200,000 - $500,000

$500,000 - $750,000

$750,000 - $1,000,000

$1,000,000 - $1,500,000

$1,500,000 - $2,000,000

$2,000,000 and Above

Contact Information

Current Occupation:

Business Experience:

Educational Background:

Personal References

id

Name:

parent_id

Phone:

Association:

Name:

Phone:

Association:

Name:

Phone:

Association:

Interests

Tell us a few cities you are interested in estalishing a franchise:

City 1:

City 2:

City 3:

Why do you want to own an Eskimo Hut?

Please explain why you want to own an Eskimo Hut and expand the company:

Special Skills, Comments and Additional Infomation

Please list any special skills, any comments, or any additional information you wish to share:

Digital Signature:

Clear

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