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Contact Craig Albert
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866 4BURGER x 103
310 559 3355 x 103

 

Request For Consideration

This request for consideration will help us evaluate your qualifications to be awarded The Counter® Franchise. This is not an application. Should you qualify, we will request additional information. This form is to be completed by each proposed partner. Please be sure to complete all steps. All fields are required.

I have read the Criteria and am qualified for Franchise consideration.

PERSONAL DATA - STEP 1

Name
Address
State
Business Phone
Best Time To Call
Birth Date
/ /
Social Security Number
City
ZIP Code
Mobile Phone
Years At Address
Email
Marital Status Single Married
Have you ever declared bankruptcy? Yes No
Have you ever been convicted of a felony? Yes No
Are you current in your (and your business) tax obligations? Yes No
Have you ever sued or been sued? Yes No
Were you or your business ever subject to a tax lien? Yes No
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