Potential Franchisee Questionnaire

Please take a few moments to tell us a little about yourselves before submitting your enquiry:

All Fields marked with * are required

*First Name:
*Last Name:
 Date Of Birth:
*Address Line 1:
 Address Line 2:
*City:
*State:
*Zip Code:
*Email:
*Telephone:
*Cell Phone:

Continental U.S. Only (Hawaii and Alaska not included)

Please note: The information you provide below will not be used or sold for mailing lists or solicitation. It will be treated as confidential information by Pizza K, Inc. THESE FRANCHISEE REQUIREMENTS DO NOT CONSTITUTE AN OFFER TO AWARD A FRANCHISE. SUCH AN OFFER MAY BE MADE ONLY AFTER THE ISSUANCE OF A WRITTEN OFFERING. These franchisee requirements do not constitute an offer to award a franchise. Such an offering may be made only after the issuance of a written offer by Pizza K, Inc. A minimum net worth of $185,000 is required for each unit to be developed. A minimum of 25% of net worth must be cash or liquid assets, as follows: 1-4 units: minimum of $185,000 cash or liquid assets; 5 units or more: 25% of net worth must be cash or liquid assets.

The following information is requested to assist us in evaluating your qualifications as a potential franchisee of Pizza K, Inc. ("Pizza K" or "we" or "our"). A copy of this Questionnaire must be submitted for each person who you contemplate would own an interest in the franchise, if a franchise is granted.

By filling out and submitting this Questionnaire, you agree that we may rely upon the information provided herein. You are also agreeing that we may solicit and obtain a credit and criminal report. Upon your request, we will tell you whether such a report was obtained and we will give you the name and address of the agency which furnished the report.

Filling out and submitting this Questionnaire is only a starting point in our respective analysis as to whether we should enter into a franchise relationship. Consequently, your submission of this Questionnaire is for information purposes only. This Questionnaire is not an offer to sell or a solicitation of an offer to buy a franchise. No sale will occur prior to the execution of a Development Agreement or Franchise Agreement and the payment of all required fees by you. Neither our acceptance of this Questionnaire nor any discussions resulting there from constitute any commitment on our part to enter into any agreement to sell a territory or a franchise.