GarageTown: Storage Ownership

	FRANCHISE APPLICATION Fill out the application below. This information is confidential. The following information will be reviewed as an application for a GarageTown franchise. Upon receipt of this information, a member of our development team will contact you to begin the process of becoming a GarageTown franchisee. This form is not to be construed as an offer of a franchise, a commitment or a binding agreement on either party.

PERSONAL DATA
Date of Birth:
First Name:
Last Name:
Street Address :
City:
State:
Zip Code:
Home phone:
Cell:
Business phone:
Fax:
Email:
Best number to contact you?	Home Business Cell
Marital Status:	Single Married Divorced Separated Widow(er)
Will spouse be active in business?	Yes No
Spouse's Name:
Spouse's Occupation:

PERSONAL HISTORY
Are you a U.S. citizen?	Yes No
If no, please give place of permanent residence and your immigration status:
Have you ever owned your own business?	Yes No
Details:
Are you currently a party to any pending legal action?	Yes No
If Yes, state details:
Have you ever filed for bankruptcy?	Yes No
If Yes, state details:

EMPLOYMENT HISTORY
Company:
Type of Business:
Address:
Phone:
Describe duties, responsibilities:

HOW DID YOU HEAR ABOUT US?
GarageTownUSA.com
Other Website:
Visited a GarageTown Location:	Yes No
Which One?
Talked to an existing Franchisee:	Yes No
Whom?
GarageTown Seminar/Presentation	Yes No
Google (Search Engine)	Yes No
Other
INTEREST PROFILE
How did you become interested in the GarageTown Franchise and why?
Have you been to a GarageTown Development? Which location(s)?
What appeals to you about the GarageTown franchise?
Have you ever owned or had an interest in any other operation within the development industry?	Yes No
Please give details:

BUSINESS INFORMATION
Will you have a business partner(s)? Yes No	Yes No
Business partner name:
Involvement:	Full-time Part-time Investment Only
Business partner name:
Involvement:	Full-time Part-time Investment Only
Business partner name:
Involvement:	Full-time Part-time Investment Only
If qualified, when would you be ready to invest in your Franchise?

LOCATION PREFERENCE
First Choice:
Second Choice:
Would you be willing to relocate? Yes*No	Yes No
If yes, where?

I hereby certify that to the best of my knowledge and belief, the answers given by me to the foregoing questions and all statements made by me in this application are correct. I hereby authorize GarageTown Franchise Services, or its agent, to verify any and all data submitted and to make any additional credit and financial investigation that it deems necessary or advisable. I hereby further authorize GarageTown Franchise Services, or its agent, to obtain background character information regarding me which it deems necessary or advisable. I understand that any false information or consequential omission contained in this application would be cause for immediate termination of any subsequent agreement reached between GarageTown Franchise Services and myself. The undersigned certifies that the information contained herein has been carefully read and is true and correct. (If your spouse is applying as a prospective co-franchisee, his/her signature is also required) The complete report provided to the Company may contain information bearing on your character, general reputation, personal characteristics, mode of living and credit standing. The types of information that may be obtained include, but are not limited to: credit reports, social security number verification, criminal records checks, public court records checks, driving records checks, educational records checks, verification of employment positions held, personal and professional references checks, licensing and certification checks, etc. The information contained in the report will be obtained from private and/or public sources, including sources identified by you in your franchise application or through interviews or correspondence with your past or present co-workers, neighbors, friends, associates, current or former employers, educational institutions or other acquaintances. The nature and scope of any investigative consumer reports that may be requested is explained above. You are nonetheless entitled to request more information about the nature and scope of such reports by submitting a written request to: GarageTown Franchise Services llc. C/O Legal Department 608 Northwest Blvd, Suite 103 Coeur d'Alene, ID 83814
FOR IDENTIFICATION PURPOSES ONLY
Date of Birth
Gender	Male Female
Signature (type your full legal name)
Date signed