Enquiry Form: Franchises

Franchise Enquiry

Thank you for your interest in our franchise opportunities. Please complete the following confidential information, and we'll forward our information pack to you.

A Chunky Chicken representative will contact you to answer any questions you may have, but please note that you are under no obligation whatsoever and will not be pressured in any way.

Your Privacy

We respect your privacy and only collect personal information to enable us to provide the services you have requested or offer you services we believe meet your needs.

Please enter a valid email address to be sure that your form is submitted and replied to.

Name and Address

First Name:

Surname:

Email Address:

Verify Email Address:

Street and Number:

City:

Province/Territory:

Zip/Post Code:

Length of time at this address:

Marital Status:

Date of Birth:

Gender:

Nationality:

Phone

Business:

Home:

Mobile:

Work History

Present Occupation:

Employer's Name:

Street and Number:

City:

Province/Territory:

Zip/Post Code:

(If Self Employed)
Details of Business:

Professional
Qualifications:

(If Director of LLC)
Company Reg. No.:

How much capital do you have
available to invest in the
franchise?

How do you intend to finance
the business? Which proportion of project costs (if any) do you
intend to follow?

Have you ever been declared bankrupt?

Please give details if so:

Do you have any Provincial or Territorial Court orders?

(Please note that this does not necessarily adversely affect your application, but allows us a greater insight if we are to successfully obtain finance on your behalf).

If available, please provide brief assets and liabilities statement and enclosed with application.

Franchise Sites

Have you ever operated a franchise before?

If so please give details:

If 'yes', please provide the following information:

Do you have an existing site or sites?

If 'yes', please provide the following information:

Is the site Freehold or Leasehold?

Street and Number:

City:

Province/Territory:

Zip/Post Code:

Which locations are you interested in?

Location 1:

Location 2:

Please give a brief explanation of your business background