Fresh points l FRANCHISE FORM

FRANCHISE FORM

Request For Consideration FreshPoints Group Required Information

(In order to be awarded a franchise you may also be required at a later time to provide proof of financial ability.)

♦ Name:

♦ E-mail:

♦ Address:

♦ City:

♦ State:

♦ Zipcode:

♦ Home Phone:

♦ Work Phone:

♦ Cell Phone:

♦ Principal Occupation:

♦ Which concept are you interested in franchising? Burger Co Saj Co Both

♦ Briefly describe your work experience:

♦ Have you ever had any experience in this type of business? Yes No

♦ Have you been involved as an owner, director, or partner of a franchise ? Yes No

♦ Do you presently: Own Rent

♦ How would you rate your desire to be awarded a franchise? Very High High Moderate

♦ Are you interested in: Area Development Master Franchise

♦ What location(s) are you considering ?

♦ What is your timetable ? 1-2 months 3-6 months 6-12 months

♦ How will you be involved in this franchise? Full Time Part Time Inactive Investor

♦ Will other family members be involved in the franchise Yes No

♦ How did you become interested in this franchise?

♦ What would make you successful as a franchisee?

♦ What attracts you to owning your own business?

♦ Expected income from franchise (once matured):

♦ Will this be your sole source of income? Yes No

♦ Please explain your understanding of franchising:

♦ Please provide any additional information that you believe will help us decide to award the franchise to you:

Registered office: Qibla, Fahad Al Salem, St. Panasonic Tower, 17th floor, Office #57, Kuwait City, Kuwait