FRANCHISING

To obtain franchise information, please complete the application below. If you do not receive a call back or e-mail response from a Smoothie Factory representative within 48 hours, please contact the Smoothie Factory corporate office at 214-227-5047.

First Name
Last Name
Home Phone
Business Phone
May we contact you at your business phone?
Yes No
Address
City
State
Zip
Date of Birth
E-Mail
Spouse's First Name
Spouse's Last Name
Have you ever been convicted of anything other than minor traffic violations? Are you involved in pending litigation?
Have you or your spouse ever declared personal bankruptcy?
Of which country are you a citizen?
Schooling Completed
Name of college and/or postgraduate school
Degree
Occupational Field
Position
Company Name
Describe duties, number of employees supervised and responsibilities
Have you ever owned your own business or franchise?
Have you ever had a business failure?
Salary, wages, bonuses, commissions (in $s)
Dividends, interest (in $s)
Other income from spouse (in $s)
Total assets (in $s)
Total liabilities (in $s)
Net worth (in $s)
Total non-borrowed funds available to invest
List any hobbies, community activities, special interests, or other pertinent information.
I certify that I am at least 18 years of age.
Yes No
In compliance with the Children's Online Privacy Protection Act (COPPA), you must be over 18 years of age to complete and submit this form.

*Terms and Conditions

I understand that the submission of this application does not obligate me or Smoothie Factory, Inc. in any manner, nor does it imply that there is any legal or commercial relationship between us. I further understand that Smoothie Factory, Inc. has the sole right to approve or disapprove the Application for any reason it may determine, and in the event that Smoothie Factory, Inc. disapproves the Application, Smoothie Factory, Inc. shall have no liability or ongoing obligations to me.

I certify that the information contained in this Application is accurate and complete. Smoothie Factory, Inc. is authorized to investigate my background as it pertains to my qualifications. I further authorize Smoothie Factory, Inc. to obtain a credit report and obtain any other information about my credit history as it deems necessary to evaluate my suitability as a potential Smoothie Factory franchisee.