Franchise Application Application Personal InformationName* First Last Home Phone*Mobile Phone*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Social Security #*Date of Birth* Are you married?*YesNoSpouse's Name* First Last Are you an honorably discharged veteran?* Yes No Discharge Date* Branch*Employment HistoryEmployment Status* Employed Self-employed Unemployed Retired Company Name / Employer*Position*Type of Business*Years Employed*Financial HistoryTotal Liquid Assets Available (cash, stocks, bonds, mutual funds) *Proof of cash needed (bank statements, 401k statements)*Total Tangible Assets (house, car, business, etc)*Total Assets*Total Liabilities*Total Net Worth*Have you ever filed for bankruptcy? Yes No If Yes, discharge Date* Quiznos Desired FranchiseeDo you have $100,000 in liquid cash available for a new store?*YesNoDo you have any restaurant management experience?*YesNoDo you have business ownership experience?*YesNoAre you a US citizen?*YesNoWhat country are you a citizen of?*Are you a lawful permanent resident of the USA?*What is your permanent resident number?*Do you have a valid E-2 visa?*YesNoExpiration Date* Have you ever been convicted of a felony?*YesNoAre you or anyone in your immediate family a partner or owner (partial or otherwise) of a restaurant or deli?*YesNoList the name of the business and the family relationship*Are you or anyone in your immediate family employed by a restaurant or deli?*YesNoList the name of the employer and family relationship*Unit Interest and Business ProfileIn what state would you like to open a Quiznos*Select BelowAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWhat type of location would you like to open?*TraditionalNon-traditionalConvenience StoreRe-open or TransferRe-open or transfer Address*Will you have any other business partners?*YesNoBusiness Partner 1 Information* First Middle Last Business Partner 2 Information* First Middle Last Do you have a legal entity formed with your state?*YesNoCorporate Name*Business Structure*ID Number / State*I agree to the terms and conditions* Yes Date* Signature*Quiznos Confidentiality and Non-DisclosureThe individual who has signed the application on the reverse hereof (“Applicant”) has applied to become a franchisee of Quiz Holdings, LLC (“Quiznos”) and, in connection with the application process, may become privy to certain information regarding the business of Quiznos and its affiliates and its franchisees which Quiznos classifies and protects as confidential and proprietary (the “Information”). Quiznos is willing to divulge such information (as and to the extent it deems appropriate in connection with the Applicant’s application) only if the Applicant agrees to protect the confidentiality of such Information. In consideration of the disclosure of Information, Applicant agrees to the following terms and conditions: 1. CONFIDENTIALITY. Applicant on behalf of itself and its affiliates, employees, officers and directors, agrees to maintain as confidential all Information disclosed to it. Applicant shall not, directly or indirectly, disclose any such Information to any third party without Quiznos prior written consent, nor shall Applicant use any Information for its own benefit (except for the purpose of the discussions contemplated by this Agreement) or for the benefit of any third party. The dissemination of Information by Applicant within its own organization shall be limited to those employees and consultants whose duties justify the need to know such Information. 2. RETURN OF INFORMATION. Applicant shall return to Quiznos within ten (10) days of written request therefor, all Information, together with any and all copies thereof. 3. NO RIGHTS IN INFORMATION. Neither this Agreement nor the disclosure of Information shall be deemed, by implication or otherwise, to vest in Applicant any rights in the Information or any other trade secrets or property of Quiznos. 4. BREACH. Any breach of any provision hereof will be theft of Quiznos trade secrets, and will cause irreparable harm and damage to Quiznos. Quiznos shall be entitled to enjoin any actual or threatened violation of any of the provisions in this Agreement. In addition to injunctive relief, Quiznos may recover damages from Applicant for any loss caused by any violation of the provisions of this Agreement (including violations by third parties to whom Applicant discloses Information). In any action brought to enforce any of the provisions of this Agreement, Quiznos shall be entitled to reasonable attorneys fee and costs. 5. LAW. This Agreement is made under, and shall be construed and enforced in accordance with, the laws of the State of Colorado. The parties agree that the exclusive venue for disputes between them shall be in the District Court for the City & County of Denver, Colorado, or the United States District Court for the District of Colorado, and the parties each waive any objection they may have to the personal jurisdiction of, or venue in, such courts. 6. SEVERABILITY. Any provision hereof which may prove unenforceable under any law or by any court shall not affect the validity of any other provision hereof.Please Initial This iframe contains the logic required to handle Ajax powered Gravity Forms.