Inquiry

This website and the franchise sales information on this site do not constitute an offer to sell a franchise. The offer of a franchise can only be made through the delivery of a Franchise Disclosure Document. Certain states require that we register the Franchise Disclosure Document in those states. The communications on the web site are not directed by us to the residents of any of those states. Moreover, we will not offer or sell franchises in those states until we have registered the franchise (or obtained an applicable exemption from registration) and delivered the Franchise Disclosure Document to the prospective franchisee in compliance with applicable law.

Directions: Please fill out all sections of this sheet accurately and to the best of your knowledge. The information requested herein is for initial evaluation of your qualifications as an East coast Wings & Grill franchisee and will be kept strictly confidential. Questions marked with a * are required entries. Fill out the form below to receive further information.

First Name

Last Name

Daytime Phone Number

Evening Phone Number

Best time to reach you:  morning afternoon evening

Email Address

Street Address

City

State

Zip Code

Date of Birth (ex. 02/16/62)

Education (select highest level completed)

Current Employer

Type of Business

Job Title

How did you hear about East Coast Wings & Grill?

Location Preference (City, State)

Are you interested in a single unit or an area development agreement?  single unit area development

Do you plan to be an owner/operator? yes no

Will you have a partner? yes no

Do you own an existing restaurant? yes no

If Yes, name the brand and style of the restaurant

Do you have any previous restaurant experience? yes no

If Yes, how long have you been in the restaurant business?

Annual Income

Total Assets

Total Liabilities

Total Net Worth (Assets minus Liabilities)

Liquid Assets available for Investment (cash, stocks,bonds, mutual funds)

Comments