Sunchain Franchising

Instructions: Please complete all fields within this form. When finished, please click the SUBMIT area or fax the form to SUNCHAIN, Inc. at (480) 421-1505. All information is held personal and confidential.

*Date:		*Email:
*First Name:		*Last Name:
*Address:		*City:
*State:		*Zip code:
*Birth Date:		Home Phone:
Bus Phone:		*Cell Phone:
Best time to reach you by phone:		AM PM
Present Occupation and Title:
Your Responsibilities: You have approximately 125 words.

The following questions help us understand you and your household so we can ensure your lifestyle is a good match for becoming a SUNCHAIN franchisee.

Marital Status:	Single Married	Spouse Name:
# Dependants:		Ages:
Is your spouse or other partner going to be actively involved in the franchise?		Yes No

Please enter your work history below. If you have been employed with only one company, please complete the first job area. This area is required in order for you to successfully submit your application.

*From the drop down box below, please select the highest level of education you have achieved.

Cash on hand in banks:	$
Publicly traded stocks, bonds & mutual funds:	$
Accounts / Notes receivable (convertible to cash in 90 days):	$
Life Insurance (cash surrender value):	$
Real estate (market value):	$
Retirement Funds:	$
IRA's:	$
401K:	$
Other Assets:	$
TOTAL ASSETS:	$

Notes payable:	$
Accounts & bills due:	$
Taxes due:	$
Liens payable:	$
Real estate mortgage:	$
Other liabilities (please itemize):	$
Lines of Credit/Home equity:	$
Other:	$
Other:	$
TOTAL LIABILITIES:	$
Total Assets less Total Liabilities = NET WORTH:	$

*1. If awarded a franchise, when would you plan to open?

*2. Are you planning to have a partner in the franchise?

*3. In addition to your personal assets do you have an additional source to fund the purchase of your franchise if necessary?


*4. What attracts you to owning a Sunchain Tanning Center franchise?


*5. Do you have a preference as to area, or city where you would locate the franchise?   Yes No

If yes, please list:
1. 2.

6. As a franchise store Owner/Operator, what other sources of outside income would you have during the first year of operation? $Per Year:

Please be as accurate as possible. If additional financing by partners / investors is needed, we request that they submit their financial statements.

If yes, what type? Personal Business

Please list the names of any and all DBA's or businesses in which you have had a substantial ownership interest, including partnerships, corporations, or limited liability corporations.

Have you, or any planned partner ever filed for personal or business bankruptcy?
Yes No

Please read the Application Agreement below and signify your acceptance and understanding of these terms by checking the "agree" box.

I have read this application, and everything I have stated in it is true.  Additionally, I understand that the information provided by me will be relied upon by the Franchisor. I understand that the completion of this profile places no continuing obligation on SUCHAIN, Inc. or myself. All information is held in strict confidence.

All submissions will remain completely confidential. SUNCHAIN, Inc. does not promote or practice any unsolicited actions or partake in the actions of any outside sources for the purpose of mailing or resale.

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