Maoz

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This form is not to be construed as an offer of a franchise, a commitment,or a binding agreementon either party. The filling out of this application does not obligate the applicant to purchase a franchise or the franchisor to sell a franchise. (* Mandatory fields)

Forms such as these are always a bit standardised. Don’t hesitate to answer in a manner that best suits you (short, business-like, personal, detailed, with pictures, drawings, etc.) After submitting you will receive a confirmation email

* Where did you first hear about or see a MAOZ restaurant?

* You are interested in opening a MAOZ restaurant in
* In which city?

* You are a citizen of which country?

* First Name

Middle Initial

* Last Name

Title (Mr., Ms., Miss, Dr., Other)

* Date of Birth (DD/MM/YY)

Gender: Female Male

* Marital Status

* Home Phone#(including area code)

Mobile Phone#

Business Phone#

*(May we contact you at your business phone

Yes No)

Fax#

* Permanent Residence Address

Apt.#

* City

* State/Province

* Postal/Zip Code

* Country

* Length of time in country of residence

Years

* E-Mail address

* Highest Education

* Citizen of

* First Name

Middle Initial

* Last Name

* Self employed/Employed by (Enter company's name below)

Position

Company Name

Length of time in current position

Please provide a brief summary of your duties, responsibilities in current/last position

Have you ever owned your own business or franchise?

*Will you devote your full time to this business?

Yes No

*Will you be the sole owner of this business?

Yes No

If NO, enter partner(s) name(s)

*Have you ever applied for a MAOZ franchise?

Yes No

If YES, where and when?

Your Total Assets
Your Total Liabilities
Your Net Worth
Please Specify:
From Business
From Real Estate
From Cash
From Annual Income
Other Sources

* Total non borrowed funds available to invest in a MAOZ restaurant

*Have you ever been convicted of a felony?

Yes No

*Have you or your spouse been involved in any litigation in the last 5 years?	Yes No
Please attach your CV to this e-mail

I understand that the submission of this application does not obligate me or MAOZ© in any manner, nor does it imply that there is any legal or commercial relationship between myself and MAOZ©. I further understand that MAOZ© has the sole right to approve or disapprove the Application for any reason it may determine, and in the event that MAOZ© rejects the Application, MAOZ© shall have no liability or ongoing obligations toward me.

I certify that the information contained in this Application is accurate and complete.
I authorize MAOZ©, or its agent, to investigate my background as it pertains to my qualifications and to verify any and all data submitted; to obtain a credit report and obtain any other information about my credit history as it seems necessary in order to evaluate my suitability as a potential MAOZ© franchisee.

I agree I disagree