Franchise Application This does not constitute an offer for a Wingers Franchise. Personal InformationName* Address* City, State, Zip Code* City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Floor or Suite Number Mobile Phone*Office Phone*Email Address* Business ExperienceCompany Name* Have You Ever Owned a Business Yes No If yes, please give details on type of business, length of time:Details Other business affiliations (officer, director, partner, etc.) How did you become aware of Wingers restaurants? Business & Management GoalsDo you personally plan to devote full time to this business venture? Yes No Do you plan to have equity partners? Yes No If yes, please identify other partners:Partner Name Partner PhoneWill This Partner be Active in the Franchise? Yes No What are your preliminary plans to finance the restaurant? When Would You Like to Open? Is there any particular geographic area you are interested in developing one or more Wingers locations? If so, where?Do you have a site picked out? Yes No If yes, please check all that apply: Please check all that apply:Remodel of Former RestaurantFee-StandingStrip CenterHotel SiteNew ConstructionOwnedLeasedWhy do you believe you can successfully operate a Wingers Restaurant & Alehouse? Other InformationIs your net worth (or your partnership/company) at least $1,000,000 with liquidity of at least $400,000? Yes No Please Attach a Resume for You and Your Financial Partners Attach a File Drop files here or Select files Max. file size: 50 MB. Financial InformationASSETS Cash In Bank Amount Notes/Accounts Receivable Worth Inventory Worth Marketable Stocks/Bonds Worth Other Worth Total of Current Assets Real Estate Worth Machinery & Fixtures Worth Automobiles Worth Other Stocks/Bonds Worth Life Insurance Cash Value Worth Total of Non-Current Assets Total of All Assets LIABILITIES Notes Payable to Banks Amount Other Notes Payable to Amount Taxes Amount Other Liabilities Due Within 1 Year Amount Total of Current Liabilities Estate Mortgage Amount Notes/Bills Payable Beyond 1 Year Amount Total of Non-Current Liabilities Total of All Liabilities Total Net Worth Online Signature (Type Full Name) CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ
