The information furnished in this application is true and accurate and if any changes occur the undersigned will notify ElizaJ® and/or its agents promptly.

I/We understand that the awarding of a Franchise is at the sole discretion of the company.

I/We acknowledge that ElizaJ® and/or its affiliates, agents and employees may provide the undersigned with confidential and proprietary information including, but not limited to, data, customer and/or employee information, techniques, methods, advertising collateral, and form templates (the "Information:") . The Information is being made available to the undersigned because of my request for this Franchise Application and as such, the Information will be held in strict confidence and divulged to no other person without the express written consent of ElizaJ®.