Apply online or fax to us at 866-405-3360
 
First Name:  
Middle Initial:  
 
Last Name:  
 
SSN# (Optional):  
 
Date of Birth:  
/ /   mm/dd/yyyy
Address:  
 
City:  
 
State:  
 
Zip:  
 
Home Phone:  
 
Cell Phone:  
 
Email:  
 
Are you married?:  
 
Spouse Name:  
 
What type of business are you in?:
 
How Long?:  
 
Present Income:  
$
Total assets:  
$
Total Liabilities:  
$
Net Worth (Assets-Liabilities):
$
Total Liquid Cash Available:
$
From Cash:  
$
Stocks-Mutual Funds:
$
Savings :  
$
 
Total:  
$   All assets minus all liabilities
 
I have enough income to maintain my current lifestyle without using funds set aside for the development of my Pizzeria Venti Franchise.
I understand it it my responsibility to secure any financing required to open my Pizzeria Venti franchise.
Restaurant Location Preferences:
1.
2.
3.
Do You Intend To Run The Business Yourself?

Have You Ever Filed For Bankruptcy Protection?

Have You Ever Been Convicted Of A Felony?
(If yes please explain)
Disclaimer and disclosure statement to follow:

Acceptance of this franchise application by us should not be considered a grant of a franchise. Franchises are granted only by executing a written franchise agreement. I authorize Venti Corp. and their respective assigns collectively known as (“Venti”) to initiate any investigations deemed necessary to verify the accuracy of information provided by me and I warrant that all information provided is true and accurate. I understand that I have the right to request that Venti make a complete discloser of the nature and scope of any inquiries. I hereby authorize credit reporting agencies, creditors, suppliers and banks to release to Venti and to Venti to release to such parties any and all information requested, my loan, depository or other credit information including financial information without limit by telephone, fax or in writing as part of the credit evaluation process.


I hereby release Venti, my bank(s), creditors and suppliers from all liability with respect to the release of any such requested information. Authorization is granted to use fax or photo copies of my signature to obtain information. I authorize Venti to discuss any derogatory credit items with co-applicants if application is combined with other co-applicants. I understand that Venti may require at any time a signed updated application or to provide additional information. I acknowledge that I have read and agree to be bound by terms of the Non-Disclosure and Confidentiality Agreement below.

Non-Disclosure and Confidentiality Agreement:

The individual submitting the application (“Applicant”) has applied to become a Venti Corp. Franchisee (“Venti”) and acknowledges that during the application process may become privy to certain information regarding the business of Venti and it’s franchise operations, which are considered by Venti to be proprietary and confidential. Venti agrees to divulge such information only if applicant protects the confidentiality of said information by agreeing to the following terms and conditions:

A) Confidentiality:
Applicant, it’s affiliates, employees, officers and directors, agrees to maintain all information disclosed by Venti as confidential and shall not disclose in any form directly or indirectly to a third party without the prior written consent of Venti. Applicant agrees to limit the dissemination of information to those employees and consultants whose duty justifies its release.

Return information: Applicant shall return all information and all copies of information provided by Venti within 10 days of written request.

B) No Rights in Information:
Neither the Disclosure of Information or this agreement shall be considered or deemed in any way to convey to applicant the rights to the information or any of it’s use or trade secrets of Venti.

C) Breach of any Provision:
A breach of any provision here in will be theft of Venti trade secrets and will cause irreparable harm and damage to Venti. Venti shall be entitled to any threatened or actual violation of any of the provisions of this agreement. Venti may also recover damages in addition to injunctive relief caused by applicants violation of the provisions of this agreement (including third party violation) in any action brought to enforce any provisions of this agreement shall entitle Venti to reasonable attorney’s fees and costs.

D) Illinois Law:
This agreement is made under law and shall be enforced in accordance with state of Illinois law. The parties agree that the proper venue for disputes shall be in the District Court, County of Cook and the parties waive any objection they may have o the personal jurisdiction of/or venue in such courts.

E) Severability:
Any provision in this agreement, which may prove unenforceable under any law or by any court, shall not affect the validity of any other provision here in.

I accept the above terms:

If you fail to accept all of the terms, we will be unable to process your application.