Request Information on Bellacino's Franchises The purpose of this Request for Consideration is for general information in evaluating your qualifications to be awarded a Bellacino's Pizza and Grinders Franchise. This is not an application. Should you qualify and a mutual interest develop, we will request additional information. This form must be completed by each proposed partner of the Franchise Group. Your Contact Information       Email:   * Name:   * Address:   * City:   * State:   * Zip:   * Phone Number:   * Mobile Number:   Best time to call:   Fax Number:   Years at this location :         Information About Yourself       Date of Birth:   Marital Status:   Married Single Divorced Widowed Spouse Name:   Number of dependents:   none 1 2 3 4 5 6 7 8 9 10 or more Ages:   How did you become aware of this franchise opportunity?   Frequent Visits Know Current Franchisee Word of Mouth/Referral Trade Publication Article Internet Other Why are you interested in a Bellacino's Restaurant?         Business Experience Information   (Please list company name, type of business, position held, dates position held, and your most significant accomplishments)       Present/Most Recent Postition:   *       Previous Postition:         Previous Postition:             Have you ever owned a business?     Yes No           If so, what type?               Do you plan to personally operate the restaurant on a full time basis (40-50 hours per week) ?     yes no           Which two (2) people would attend the 1-2 week off-site training program?                   Have you ever pursued or been involved in any other franchise opportunity?     yes no     If yes, please explain:               Restaurant experience is not required. If you have any restaurant experience, please explain:               Are you, or anyone in your immediate family, a partner or owner (partial or otherwise) of a restaurant or deli?     yes no     If yes, please explain:               Are you, or anyone in your immediate family, currently under any form of non-compete clause or agreement that limits your right to operate any business?     Yes No     If yes, please list name of employer and family relationship:               Have you ever filed bankrupty?     Yes No           What is the range of your liquid assets?     Under $50,000 $50,000 to $75,000 $75,000 to $100,000 Over $100,000           Will you have any partners in this business?     No Yes     If so, please list (Each potential partner must fill out an online application)               Are you interested in purchasing an existing Bellacino's Restaurant?     No Yes           Are you willing to relocate?     No Yes           Do you visit a Bellacino's regularly?     No Yes           If yes, which location do you visit the most?                 Other Information           Have you ever been convicted of a felony?     No Yes           Have you ever been associated directly or indirectly with terrorist activity?     No Yes           Are you a United States Citizen?     No Yes     If no, from what country?               What area are you considering for a new Bellacino's Pizza & Grinders Location?               Are you interested in developing multiple locations and an area development agreement?     Not Sure Yes No     If so, how many stores?               * indicates required field             Copyright 2007 Bellacinos.com - All Rights Reserved Site design by ZCSS.com