CONFIDENTIAL INFORMATION FORM

Confidential Information Form

25%

Job Information
Present Occupation
Company
Company Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Salary
Duties/Responsibilities
Spouse's Occupation
Spouse's Company
Spouse's Company Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Spouse's Salary
Are you now self employed?
Name of Business
Work Phone
Type of Business
Years in Business
Your Title
Yearly Sales
Salary

Franchise Information
How did you hear about Woody's franchise opportunity?
Are you seeking an individual franchise or multiple units?
THE UNDERSIGNED HEREBY DECLARE THAT ALL THE INFORMATION PROVIDED HEREIN IS TO THE BEST OF MY KNOWLEDGE TRUE, COMPLETE AND CORRECT AND UNDERSTAND IT MAY BE USED TO DETERMINE CREDIT WORTHINESS. THE UNDERSIGNED FURTHER CONSENT(S) TO MAKING ANY INQUIRIES IT DEEMS NECESSARY ON THIS APPLICATION, AND CONSENT(S) TO THE DISCLOSURE AT ANY TIME OF ANY CREDIT INFORMATION ABOUT ME/US TO/FROM ANY CREDIT REPORTING AGENCY.
Signature*
Date*
Date Format: MM slash DD slash YYYY