Portable Sign Rental - Mini Billboards - Outdoor Advertising --- Postcard Portables Ltd. ---

Personal Information

Name:

Address:

City:

Province:

Postal Code:

Phone Number:

Cellular Number:

Date of Birth:

Marital Status:

Spouse of Partner's Name:

Children (Name & Ages):

Spouses' Occupation:

Business Experience

Currently Employed by:

Start Date:

Position:

Income (Monthly):

Supervisior:

Work Phone Number:

Work Address:

City:

Province:

Previously Employed by:

Start & End Date:

Position:

Income (Monthly):

Supervisior:

Reason For Leaving:

Education

High School:

University or College:

Degrees Earned:

Describe any training in sales, management, etc..

Personal Financial Information

How much unencumbered cash do you have avaliable for investment?

How much capital, if any will you have to borrow?

Will you require assistance to obtain financing? Yes No

Have you ever declared bankruptcy? Yes No

Credit Cards Held:

Assets:

Cash on Hand:

Stocks, Bonds:

Real Estate - Market Value:

Automobiles - Market Value:

Other Assets:

Liabilities:

Notes Payable:

Credit Card Debt:

Mortgage Payable:

Loans / Line of Credit:

Vehicle Expenses:

Other Liabilities:

Approximate Estimation of Personal Net Worth (Assets - Liabilities):

Additional Information:

When will you be avaliable to open the business?

If awarded a Postcard Portable Franchise, how many hours per week are you able to devote to running your Franchise?

How much time would you per week spend prospecting?

How much time would you per week spend on administration?

Will your spouse / partner be an active participant in your franchise? Yes No

Have you ever rented a portable sign before? Yes No

What is it that you like about our product and concept?

Have you ever past or present been self-employed? Yes No

Have you ever been convicted of a felony or misdermeanor? Yes No

Check the box if the following statement applies.

I headby certify that all information provided above is correct and true as of the date below. I certify that this information is on my own behalf or I am legally able to provide said information on behalf of the person the information is about. I understand that any false information or omission of pertinent information on this application would be cause for immediate termination of any subsequent agreements reached between myself and Postcard Portables, Ltd.