U. S. Franchise Application

• Name* First Last
• Address*
  Street Address Address Line 2 City State / Province / Region Postal / Zip Code United States United Kingdom Australia Canada France New Zealand India Brazil ---- Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Argentina Armenia Aruba Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia & Herzegovina Botswana Bouvet Island British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Caribbean Netherlands Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo - Brazzaville Congo - Kinshasa Cook Islands Costa Rica Côte d’Ivoire Croatia Cuba Curaçao Cyprus Czechia Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard & McDonald Islands Honduras Hong Kong SAR China Hungary Iceland Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau SAR China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands New Caledonia Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Réunion Romania Russia Rwanda Samoa San Marino São Tomé & Príncipe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia & South Sandwich Islands South Korea South Sudan Spain Sri Lanka St. Barthélemy St. Helena St. Kitts & Nevis St. Lucia St. Martin St. Pierre & Miquelon St. Vincent & Grenadines Sudan Suriname Svalbard & Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu U.S. Outlying Islands U.S. Virgin Islands Uganda Ukraine United Arab Emirates Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis & Futuna Western Sahara Yemen Zambia Zimbabwe Country
• Home Phone ### - ### - ####
• Cell Phone * ### - ### - ####
• Date of Birth (Month, Day, Year)
• Email *
• Social Security Number *
• Drivers License Number*
• Are you married? *

  No Yes
• If Yes, spouse's name.
• Will you have other owners / partners? *

  No Yes I don't know
• If Yes, partner(s) name(s).
• In what state would you like to open a Tikiz Shaved Ice & Ice Cream Franchise? *
  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Are you interested in a single-unit or multi-unit franchise? *

  Single Unit Multi-Unit I don't know
• Are you interested in an area director opportunity? *

  No Yes I don't know
• How did you hear about the Tikiz Shaved Ice & Ice Cream franchise opportunity? *

• Employment

• Select a Choice *

  Employed Self-employed Unemployed Retired Active Military Retired Military

• Financial Information

  Minimum Cash Required: $50,000.00
• (A) Total Liquid Assets available (e.g. cash, stocks, bonds, mutual funds) * $ Dollars . Cents
• (B) Total Tangible Assets (e.g. house, car, business, etc.) * $ Dollars . Cents
• (C) Total Assets - Add A to B * $ Dollars . Cents
• (D) Total Liabilities * $ Dollars . Cents
• (E) Total Net Worth: Total Assets minus Total Liabilities - Take D from C * $ Dollars . Cents

• Personal Information

• Have you ever filed for bankruptcy protection? *

  No Yes
• If yes, identify discharge date.
• Have you ever been convicted of a felony? *

  No Yes
• I understand that if financing is required to purchase my Tikiz Shaved Ice & Ice Cream franchise that it is my sole responsibility to obtain it. *

  No Yes
• Are you or anyone in your immediate family currently under any form of non-competition agreement that limits your right to operate any business? *

  No Yes
• If yes, list name of other business and family member’s relationship to you:
• Are you a U.S. Citizen? *

  No Yes
• Is your credit score 700 or higher? *

  No Yes

• Signature

  I understand that the acceptance of this Franchise Application by Tikiz Franchising, LLC does not constitute the grant of a franchise. I understand that Tikiz Franchising, LLC grants franchises only by executing written franchise agreements. By signing below, I authorize Tikiz Franchising, LLC and its assigns to start an investigative consumer report (including information as to my character, general reputation, personal characteristics and mode of living) based on the information voluntarily provided by me and warrant that all information provided is true and accurate. I understand that I have a right to request that Tikiz Franchising, LLC make a complete and accurate disclosure of the nature and scope of such investigation. Tikiz Franchising, LLC may obtain my credit report in connection with this application. This is my authorization to credit reporting agencies, bank(s), creditors and suppliers to release to Tikiz Franchising, LLC, and to Tikiz Franchising, LLC to release to such parties, all information requested regarding my depository loan or other credit information including without limitation, financial information, by telephone or in writing as part of the normal credit evaluation process. I release my bank(s), creditors, suppliers, and Tikiz Franchising, LLC from all liability with respect to the release of such requested information. Authorization is granted to use photo or fax copies of my signature to obtain information. If I am requesting that Tikiz Franchising, LLC make a credit determination based on my creditworthiness combined with co-applicants, I authorize Tikiz Franchising, LLC to discuss any derogatory credit items with such co-applicants. I understand that Tikiz Franchising, LLC may at any time, require that I sign an updated application or provide updated information. I acknowledge that I have read, and hereby agree to be bound by the Confidentiality and Non-Disclosure provisions which appear on the reverse side of this Application.
• I, the applicant for this franchise application, warrant the truthfulness of the information provided in this application.
  ELECTRONIC SIGNATURE
  Please type your first and last name. *
• I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance. *

  I agree

• Tikiz Confidentiality and Non-Disclosure Statement

  Please read this section carefully and sign below.

• TIKIZ Confidentiality and Non-Disclosure Statement

  The individual who has signed the application on the reverse hereof (“Applicant”) has applied to become a franchisee of Tikiz Shaved Ice & Ice Cream and, in connection with the application process, may become privy to certain information regarding the business of Tikiz Shaved Ice & Ice Cream and its affiliates and its franchisees which Tikiz Shaved Ice & Ice Cream classifies and protects as confidential and proprietary (the “Information”). Tikiz Shaved Ice & Ice Cream is willing to divulge such information (as and to the extent it deems appropriate in connection with the Applicant’s application) only if the Applicant agrees to protect the confidentiality of such Information. In consideration of the disclosure of Information, the Applicant agrees to the following terms and conditions:
  1. Confidentiality. Applicant on behalf of itself and its affiliates, employees, officers and directors, agrees to maintain as confidential all Information disclosed to it. Applicant shall not, directly or indirectly, disclose any such information to any third party without Tikiz Shaved Ice & Ice Cream prior written consent, nor shall Applicant use any Information for its own benefit (except for the purpose of the discussions contemplated by this Agreement) or for the benefit of any third party. The dissemination of Information by Applicant within its own organization shall be limited to those employees and consultants whose duties justify the need to know such Information.
  2. Return of Information. Applicant shall return to Tikiz Shaved Ice & Ice Cream within ten (10) days of written request therefore, all information, together with any and all copies thereof.
  3. No Rights in Information. Neither this Agreement nor the disclosure of Information shall be deemed, by implication or otherwise, to vest in Applicant any rights in the Information or any other trade secrets or property of Tikiz Shaved Ice & Ice Cream.
  4. Breach. Any breach of any provision hereof will be theft of Tikiz Shaved Ice & Ice Cream trade secrets, and will cause irreparable harm and damage to Tikiz Shaved Ice & Ice Cream. Tikiz Shaved Ice & Ice Cream shall be entitled to enjoin any actual or threatened violation of any of the provisions in this Agreement. In addition to injunctive relief, Tikiz Shaved Ice & Ice Cream may recover damages from Applicant for any loss caused by any violation of the provisions of this Agreement (including violations by third parties to whom Applicant discloses Information). In any action brought to enforce any of the provisions of this Agreement, Tikiz Shaved Ice & Ice Cream s shall be entitled to reasonable attorney’s fee and costs.
  5. Severability. Any provision hereof which may prove unenforceable under any law or by any court shall not affect the validity of any other provision hereof.
  Tikiz Franchising, LLC
  1021 South Rogers Circle, Suite 1 Boca Raton, FL 33487
  Phone: 407-383-3872 Fax: 954-354-1472
• I, the applicant for this franchise application, agree to abide by the terms of this Confidentiality and Non-Disclosure Statement.
  ELECTRONIC SIGNATURE
  Please type your first and last name. *
• I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance. *

  I agree
• Date *
• Are you a Human *
• Do Not Fill This Out