Franchise Application This does not constitute an offer for a Wingers Franchise. Personal InformationName*Address*City, State, Zip Code* City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Floor or Suite NumberMobile Phone*Office Phone*Email Address*Business ExperienceCompany Name*Have You Ever Owned a Business Yes No If yes, please give details on type of business, length of time:DetailsOther business affiliations (officer, director, partner, etc.)How did you become aware of Wingers restaurants?Business & Management GoalsDo you personally plan to devote full time to this business venture? Yes No Do you plan to have equity partners? Yes No If yes, please identify other partners:Partner NamePartner PhoneWill This Partner be Active in the Franchise? Yes No What are your preliminary plans to finance the restaurant?When Would You Like to Open?Is there any particular geographic area you are interested in developing one or more Wingers locations?If so, where?Do you have a site picked out? Yes No If yes, please check all that apply: Please check all that apply:Remodel of Former RestaurantFee-StandingStrip CenterHotel SiteNew ConstructionOwnedLeasedWhy do you believe you can successfully operate a Wingers Restaurant & Alehouse?Other InformationIs your net worth (or your partnership/company) at least $1,000,000 with liquidity of at least $400,000? Yes No Please Attach a Resume for You and Your Financial Partners Attach a File Drop files here or Select files Max. file size: 50 MB. Financial InformationASSETS Cash In BankAmountNotes/Accounts ReceivableWorthInventoryWorthMarketable Stocks/BondsWorthOtherWorthTotal of Current AssetsReal EstateWorthMachinery & FixturesWorthAutomobilesWorthOther Stocks/BondsWorthLife Insurance Cash ValueWorthTotal of Non-Current AssetsTotal of All AssetsLIABILITIES Notes Payable to BanksAmountOther Notes Payable toAmountTaxesAmountOther Liabilities Due Within 1 YearAmountTotal of Current LiabilitiesEstate MortgageAmountNotes/Bills Payable Beyond 1 YearAmountTotal of Non-Current LiabilitiesTotal of All LiabilitiesTotal Net WorthOnline Signature (Type Full Name)CAPTCHAEmailThis field is for validation purposes and should be left unchanged. Δ
