Name:

Home Phone: Business Phone: Cell Phone:

  

 

Street Address:

City:  State:  Zip:  County:

   

 

Email Address:

Education: High School College Graduate School Degree

    

 

Are you a veteran? Spouse’s Name: Spouse’s Current Occupation:

 Yes  No   

 

 

PROFESSIONAL EXPERIENCE Position/Responsibilities:
Current Employer:

 
City, State:  

 

When will you be ready to invest in the business? How did you become aware of the Sport Clips franchise opportunity?

 

 

Location Preference: 1. 2. 3.

 

 
Assets Liabilities
Cash  Bills Payable & Credit Cards 

 
Marketable Securities  Installments Notes & Contracts 

 
Investment Real Estate  Home Mortgage 

 
401(k) and IRA  Other Real Estate Loans 

 
Residence  Other 

 
Autos  Total Liabilities 

 
Personal Property  Total Assets (A) 

 
Other (List)  Total Liabilities (B) 

 
Total Assets (A)  Net Worth (A minus B) 

 

 

 

 

Total capital available to invest:

 
Under $100,000  $100,000-$250,000  Over $250,000