Franchise

First Name : 
Last Name :  
Street Address :  
Suite/Apt# :  
P.O.Box No :  
City :  
State :  
Zip :  
Date of Birth :  

Male Female

E-mail Address :  
Verify E-mail Address :  
Phone No :  
Cell Phone :  
Citizen of :  
Tax No/ Social Security No :  

Investment Time Frame

Cash on hand : 

Preference of Franchise Location :

city/Town : 
State : 
Zip : 
Will you have any partners?    Yes No
Experience Not required. If Self employed    Yes No
Nature of Business, If any : 
No of years : 
Employed By : 
Nature of work : 

Have you been involved in any litigation proceeding
in last 3 years    Yes No
Have you ever been convicted of a felony    Yes No
I am not involve in any other Mexican restaurant
direct or indirect    Yes No

Disclaimer: The Undersigned acknowledges and agrees that Mahi Vision, LLC hereafter referred to as the ?Company? has and/or will furnish to the undersigned person certain proprietary and confidential information.Whereas, the Company agrees to furnish the undersigned certain confidential information relating to the affairs of the company for purposes of investigating franchising opportunities with Mahi Vision, LLC.Whereas, the undersigned agrees to review, examine, inspect or obtain such information only for the purposes described above and to otherwise hold such information confidential pursuant to the terms of this agreement.BE IT KNOWN, that the company has or shall furnish to the undersigned certain confidential information on the following conditions: 1. The undersigned agrees to hold all confidential or proprietary information or trade secrets (?information?) in trust and confidence and agrees that it shall be used only for the contemplated purpose, shall not be used for any other purpose or disclosed to any third party. 2. No copies will be made or retained of any written information supplied. 3. It is understood that the undersigned shall have no obligation with respect to any information known by the undersigned or generally known within the industry prior to date of this agreement, or becomes common knowledge within the industry thereafter. It is understood that this franchise application is for the purpose of information only. It is not an offer to sell a franchise. Franchise offerings are made only by the issuance of an offering circular. This application is not binding upon either the applicant or the Company. I state that the facts set forth by me in this request for consideration are true and to the best of my knowledge and belief. I hereby authorize the Company and its agents to perform all necessary background, character, legal, credit, driving record, and other checks it deems necessary to verify the statements provided in this application.

Yes, I certify that above all information is true.
Yes, I am potential franchise buyer.
Yes, I have read and agree above Disclaimar.