Franchise Application

Dear Franchise Applicant:

Thank you for your interest in becoming a part of B’s Essentials Vending franchise system. The information you provide helps B’s Essentials Vending team to evaluate your candidacy. We encourage you to share any relevant information and include anything that you feel will make your candidacy stand out as a potential franchisee.

If you are planning to have a business partner or investor, he/she should complete a separate application and submit it along with yours. Completing this application in no way constitutes a commitment to B’s Essentials Vending or its management that a franchise application and location of your development interest will ultimately be approved. In accordance with local and FCC rules, B’s Essentials Vending must provide you with a copy of their latest Franchise Disclosure Document (FDD).

Please be aware that upon submitting this application you agree to pay the $50 non-refundable application fee, and agree to a background and soft pull credit check.

You will receive a separate email about completing the background check.

FRANCHISE INTEREST AND GEOGRAPHY

Are you interested in: *Placing new machinesPurchasing existing machines

Specify location: *

How many B’s Essentials Vending kiosks do you plan to own? *12345Other

Other list: *

Development Interest: Where do you want your territory to be? Every franchise will have a 5-mile territory. List zip codes, city/town, street names, etc.

First choice: *

Second choice: *

Third choice: *

Are you flexible with your choices? *YesNo

GENERAL INFORMATION

SSN: *

Name *First middle

Email Address *

Address *

Street *

City *

State *

ZIP *

Country *If not US

Phone:

Work *

Home *

Cell *

Date of Birth: *

Citizenship: *USPermanent ResidentOther

Highest Degree/Diploma Received: *

Name of Institution: *

Current or Last Employer: *

Position: *

Year *

Current or Last Employer:

Position:

Year

Current or Last Employer:

Position:

Year

May we contact your current or previous employers? *YesNo

What is the approx. amount of your total net worth**? *Less than - $100,000$150,000 - $200,000$200,000 - $300,000$300,000 - $400,000$400,000 - $500,000$500,000 - $1,000,00$1,000,000 - $1,500,000other

Other : *(**Net worth= Total Assets – Total Liabilities)

What is the approx. amount of your liquid assets? *Less than - $100,000$150,000 - $200,000$200,000 - $300,000$300,000 - $400,000$400,000 - $500,000$500,000 - $1,000,00$1,000,000 - $1,500,000Other

Other : *( Liquid Assets equals non-borrowed & non-retirement cash and marketable securities)

Briefly describe any relevant business experience you may have: *

Please attach any relevant supporting documents *

Drag and Drop (or) Choose Files

BUSINESS INFORMATION

Business type: *

Formation Date *

EIN: *

Business NAME: *

Address *

Street *

City *

State *

ZIP *

If you don’t have a business structure at the time of submitting this application, can you have one by the time you sign the Franchise agreement? *YesNo

INTEREST AND COMMITMENT

Instructions: (Please attach additional pages if necessary for any question in this section)

How did you become interested in a B’s Essentials Vending franchise? *

What are your expectations for owning a B’s Essentials Vending franchise? *

How did you become interested in the vending industry? *

Have you tried to start your own business before? If so, explain your challenges. *

Why do you want to start a franchise business? *

Have you franchised a business before? *

What annual income after expenses do you hope to generate from your business? *(B’s Essentials Vending encourages you to consult with your financial advisor; acceptance of your franchise application does not constitute an endorsement of your financial expectations)

How much time do you plan to spend at your franchise? *Fulll time:Part time:

Would family, friends, or associates be helping you? *YesNo

Please describe the person, their role, and involvement in the business: *

Would you be leasing your first vending machine through B’s Essentials Vending? *

Why do you think you would succeed as a B’s Essentials franchisee? *

Given that the success or failure of your business is primarily your responsibility, what would you do to promote your business in addition to any programs required by B’s Essentials Vending? *

Please provide an example where you have hired, trained, and or motivated staff: *

What is your customer service philosophy? *

Describe your hobbies, interests, community and public service involvement: *

Have you or any company you have owned declared bankruptcy? *YesNo

Have you ever been involved in any type of civil litigation or criminal offense? *YesNo

PARTNER INFORMATION

Will you have partners with this application?YesNo(please complete this section. A separate application form must be submitted for each listed partner, including consent for background and credit check prior to final approval of the franchise)

Partners

Partner 1:

Information *Financial partnerOther

Other *

Name *

Address *

Email *

Primary Phone *

Secondary Phone

SSN: *

Relationship with Applicant: *SpouseOther (Please specify):

Role in day-to-day operations of the business: *

Briefly describe any relevant business experience your partner has: *

Please attach a copy of your partner's resume *

No file chosen

Partners

Partner 2: (Optional)

InformationFinancial partnerOther

Other

Name

Address

Primary Phone

Secondary Phone

Relationship with Applicant:SpouseOther (Please specify):

Role in day-to-day operations of the business:

Briefly describe any relevant business experience your partner has:

Please attach a copy of your partner's resume

No file chosen

Partners

Partner 3: (Optional)

InformationFinancial partnerOther

Other

Name

Address

Primary Phone

Secondary Phone

Relationship with Applicant:SpouseOther (Please specify):

Role in day-to-day operations of the business:

Briefly describe any relevant business experience your partner has:

Please attach a copy of your partner's resume

No file chosen

FINANCIAL INFORMATION

(All financial information submitted will be held and treated as confidential)

Value of Assets held in 401K $.Please DO NOT include 401K cash/securities in the worksheet below. *

ASSETS

Stocks, Bonds, Securities RRSP’s Notes & Loans Receivable Primary Home (market value) *

Other Real Estate Interest (please specify) *

Other Assets (please specify) *

Value of Business (if self-employed) *

TOTAL ASSETS (US $) *

*Submit proof of assets *

No file chosen

LIABILITIES

Bank Loan (car, line of credit, credit, etc.) *

Notes Payable Home Mortgage Credit card balance *

Other real estate loans *

Other Liabilities *

TOTAL LIABILITIES (US $): *

Credit Card(s) or margin credit held and limit(s)

Credit 1 *

Credit 2 *

Credit 3 *

Credit 4 *

Current Monthly Income:

Salary *

Spouses Salary *

Submit proof of income *

No file chosen

Rent/Mortgage, Utilities, car expenses, insurance, and other monthly expenses/ commitments *

TOTAL MONTHLY EXPENSES *

TOTAL IN SAVINGS ACCOUNT *

Submit proof of savings *

No file chosen

Which specific assets do you intend to use to meet the cash requirements?

Other Comments: *

REFERENCES(Financial References)

Name 1 *

Financial Institution: *

Telephone: *

Relationship: *

Name 2: *

Financial Institution:

Telephone: *

Relationship:

Other References

Name 1: *

Company: *

Telephone *

Relationship: *

Name 2: *

Company: *

Telephone *

Relationship: *

Consent *I hereby certify that all information provided in this application is true and correct as of the date below. I authorize B’s Essentials Vending or its affiliates, agents, and franchise team to conduct any necessary credit and background checks. I hereby waive any rights conferred upon me by the statute or otherwise regarding any disclosures obtained by B’s Essentials Vending or its affiliates or agents. I understand that any false information or consequential omission contained in this application would be cause for immediate termination of any subsequent agreement reached between the applicant and B’s Essentials Vending

Consent *The submission of this application does not obligate B’s Essentials Vending or the applicant in any way or manner.

Date *

Signature: *

Print Name: *

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* This page does not constitute an offer to sell a franchise in California or any other state in which we are not registered to sell franchises.