First Name

Last Name




State / Province

Zip / Postal Code

Work Phone

Cell Phone


Best Time to Contact

Cash Available for Investment*

How many Threadology bars would you like to open?

Do you need location assistance?

Where are you interested in opening up a Threadology franchise?

Net Worth ($)

Investment Time Frame

How did you hear about us?


Birth Date

Marital Status

Spouse Name


Specific Data

When would you be ready to invest in your franchise if you were approved?*

What skills/experience do you have that will help you be successful in this business?*

Why do you think this franchise will enable you to reach your personal goals?*

Who will be responsible for the daily operation of your Threadology bar?*

Have you ever filed for bankruptcy?

Data Filed

Date Discharged

Area/Location Preference to Open a Threadology Bar

Preference 1

Preference 2

Preference 3

Please list the three main questions you have about this business opportunity.

Question 1

Question 2

Question 3

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