PRELIMINARY APPROVAL

Ready to take the next step in the Franchisee Matching Process? Complete the form below to submit an application for preliminary approval. We will review your submission and get back to you with feedback on whether you would make a great candidate to own a franchise!

Request for Consideration

First Name

Last Name

Phone Number

Email*

Street Address

City

State

Country

Years at address

Mobile phone number

Business Experience

Current Occupation

Annual Current Revenue

Company name

Prev. Occupation

Annual Prev Revenue

Previous Company name

Highest Level of Education

Military Veteran?Bankruptcy?

Will this business be a parternship?

Spouse Information

Marital status

Will spouse participate in the business?

Spouse Name

Spouse Email

Spouse Occupation

Spouse Income

Business Objectives

Number of developments you are interested in?

Is your objective to supplement, transition, replace income, or be actively involved?

How long have you been looking at business opportunities?

What other businesses are you considering?

Why do you believe you can successfully own and operate our franchise?

On a scale of 1-10, how committed are you to owning your own business?

On a scale of 1-10, how committed are you with moving forward with Coast Supply Co.?

What is your timeline for starting your own business?

Assets

Cash in checking

Cash in savings

Real estate (home value)

Other real estate value

IRA/401k

Business Assets

Other assets

Total Assets

Liabilities

Notes payable to finance companies

Notes payable to banks

Real estate mortgages total

Automobile indebtedness

Credit card debt

Taxes payable

Other liabilities

Total Liabilities

Net Worth

Net worth (total assets minus total liabilities)

Credit score

Have you ever filed for bankruptcy?

Liquid capital

What amount of money do you feel comfortable investing?

REQUEST FOR CONSIDERATION