Franchising Form (Submit Online) - Eliza J - The Source For Luxury Portable Restrooms in New England

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ElizaJ® Franchise Qualifying Application [.pdf-231K]

Please fill out completely and return to:
ElizaJ^® , P.O. Box 99, 90 Old Chatham Road, Harwich, MA 02645 or fax to: (508) 430-2718

Franchising Form (Submit Online)

I Learned about ElizaJ from:	Web Site Information Print Advertising Direct Mail Other
Preferred areas for your ElizaJ business?
What is your time frame to open your Franchise business?	3 months 6 months 9 months 1 year
Name (Full Legal)
Business Phone
Home Phone
Cell Phone
E-Mail
Best Contact Is:	Business Phone Cell Phone Home Phone Email
Current Address
Previous Address if less then 5 years:
Current Employer:
Position:
Address:
City
State
Zip Code
Marital Status	Married Single
Are you a partner or officer in any other venture:	Yes No
If Yes, explain:
Will this business be your sole source of income?	Yes No
I Will Operate the business	Full Time Part Time/Seasonal
Do You Have a Driver License?	Yes No
Are you a US citizen?	Yes No
Have Bankruptcy Proceedings ever been instituted by or against you?	Yes No
Are you or have you been a party to any suits or legal activities?	Yes No
Have you ever been convicted of crime other than minor traffic offenses?	Yes No
If Yes, explain:
My personal net worth is:	under $50.000 under $100.000 $100.000-$200.000 $200.000-$350.000 $350.000-$500.000 $500.000-1 million Over 1 million
My Liquid Assets are in this range:	under $100.000 $100.000-$200.000 over $350.000
Net worth is Assets (cash, real estate, securities, etc) Minus (-) Liabilities (loans, notes, credit cards) = Net Worth:
Do you have a financing source?	Yes No
If Yes, what is source of your capital for this investment? (ex. Savings, bank loan, etc)
What is the total amount of money you have available to purchase ElizaJ Franchise?
If no, how will you find investment capital?
Additional Comments: Briefly explain why you are interested in becoming an ElizaJ Franchisee
	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®.
Agreed to:
Agreed to:
Submit

View Our Portable Restrooms

Solar Deluxe

Our most popular unit
Fresh water flush and sinks
No hookup required

Multi-Use

Wheel chair accessible
Fresh water flush and sinks
No hookup required

Ultra Restroom Trailer

Two separate restrooms
Self contained
AC/Heat
Music
Hook up required

Gallery

Click here to view our gallery

Media Room

Read more about ElizaJ, and listen to her radio interview on WBIX

Leave It To Liza

Eliza Kendall has many years and much expertise planning outdoor events and supplying quality portable restrooms. Find out how you can make your outdoor events sizzle and what planning goes in to making these events successful. You can even ask liza a specific question -