FRANCHISE APPLICATION

Thank you for your interest in The Lice Place franchise system. The following will outline the process and steps that are required to be considered for The Lice Place franchise:

  1. Complete this Franchise Application.
  2. A separate Franchise Application should be completed by each applicant.
  3. Upon receipt, we will review and evaluate your application and, if approved, provide you a Franchise Disclosure Document (FDD).
  4. We may provide you with a FDD in hard copy or electronic format. If the FDD is furnished electronically, it will be provided in a Portable Document Format (PDF) file. You must use the Adobe Acrobat program in order to open and view this type of electronic file.
  5. Upon receipt of the FDD, please complete and sign the final two pages of the document entitled “Receipt.” Once completed and signed, return the Receipt entitled “Our Copy” to us by mail to The Lice Place, 3803 S. Caulder Way, Missouri City, Texas 77459, Attention: Penny Warner.
  6. It is recommended that you review the The Lice Place FDD with your attorney and business advisors.

Under no circumstances does the submittal of your application to The Lice Place or its subsequent review and processing imply, in any manner, our intention to offer you a franchise. You are not accepted as a franchisee unless and until you and The Lice Place execute a Franchise Agreement.

The Lice Place does not guarantee the financial performance of any franchisee or business. The decision to become a franchisee and to open The Lice Place franchise must be based upon your independent research and analysis.

PERSONAL INFORMATION

EMPLOYMENT INFORMATION (Most Recent Position First)

CREDIT REFERENCES (companies with whom you have done business)

PERSONAL REFERENCES

GENERAL INFORMATION

FINANCIAL INFORMATION

MONTHLY INCOME

ASSETS
Amount
LIABILITIES
Amount

ACKNOWLEDGMENTS AND SIGNATURE

I hereby certify that the above information contained in this Franchise Application is true and correct. I understand that the above information will be utilized by The Lice Place in its evaluation of my expression of interest in acquiring The Lice Place franchise. I understand that in submitting this application I am not agreeing to be obligated to acquire The Lice Place franchise and that acceptance of my application is not an agreement to grant me a franchise opportunity, which will only occur upon execution of a Franchise Agreement. I further understand that if The Lice Place decides to proceed with my application, I will be provided, prior to execution of any binding agreement, with a Franchise Disclosure Document.

In accordance with the Privacy Act (5 U.S.C. 552 a), Freedom of Information Act, and the Fair Credit Reporting Act, I expressly authorize any past or present employer, any law enforcement agency (federal, state, or local), or any person who has personal knowledge of my character, work experience, or criminal records to release information to The Lice Place. I understand and acknowledge that as a condition of being considered for The Lice Place franchise, I agree to a credit history check and a criminal background check to be performed by a reputable agency at the choice of The Lice Place. I understand that the credit and criminal reporting agencies will make their results known to The Lice Place, and The Lice Place may use those results, in whole or in part, in determining whether I will be granted the right to enter into a Franchise Agreement with The Lice Place. If requested by The Lice Place, I agree to supply statements from my professional advisors (banker, broker, accountant, or attorney) verifying the assets stated on the application, and I also agree, if requested, to furnish copies of Federal Income Tax Returns (along with any supporting Schedules) as filed for the last three years. I understand that The Lice Place is relying upon all of the information contained in this application as a material factor in considering my application to become a franchisee, and I therefore agree to promptly notify The Lice Place of any material change in any of this information or any subsequent information provided to The Lice Place. In addition, I release from liability and hold harmless all persons releasing personal, professional, or financial information on me or any company to which I am a partner or shareholder listed on this application.

I further agree to provide a detailed resume and a current personal financial statement upon the request of The Lice Place.