Franchise Application

NOTE: This is for franchise inquiries. For information regarding employment,
please contact your local Gandolfo's.
The filing of this Application does not obligate the applicant to purchase or the franchisor to sell a franchise.
NOTE: (Complete in full and do not use abbreviations. If an input does not apply to you,
for text enter N/A or none, for numbers enter at least 3 digits ex:555 or 111)
For a printable application: download one here.
For a printable personal financial statement: download one here.
Basic Information
Last, First Middle
Are you a citizen of the U.S.?
Yes No
Are you of legal age in your state and/or area of residence?
Yes No
Have you ever been convicted of a felony?
Yes No
Other names known by:
Spouse's Name:
Last, First Middle
Other names known by:
Daytime Phone: ( ) - Evening Phone: ( ) -
Cellphone: ( ) - Fax: ( ) -
Best time to contact you:
E-Mail address:
ZIP/Postal Code:

Educational Background
(Include schools attended, years, and degrees/certificates):

Business Information
Are you self-employed Yes No Telephone (Business): ( ) -
Employed By: Number of years:
Address: Nature of Business:
City: Position:
State: May you be contacted at work? Yes No

(Include name, address, telephone - no relatives please):

Personal Information (Please list figures in U.S. Dollars)
Income from present occupation per year:
Other income per year:

If other income please explain:

Specific Data (Please list figures in U.S. Dollars)
Would this business be your sole source of income? Yes No
Own home or rent? Own Rent If own, current value:
Mortgage/Rent Payment:
Your Total Assets: Your Total Liabilities:
Available cash for investing: Net Worth:
Have a financing source? Yes No Amount of financing available:
If qualified, when ready to franchise?
Will you be the sole owner of this business? Yes No
If names are to be included on the Franchise Agreements, please have these individuals fill out a seperate application.
Estimated training date should you choose to invest:
Location Preference:

**Note: All persons, as individuals or members of a corporation, to be included on the Franchise Agreement(s) who are not listed on this form as a spouse must complete and submit a separate Application as well as provide a Personal Financial Statement.

I understand the granting of a Franchise is at the sole discretion of the Franchisor (Gandolfo's DeliBoys, LLC).

I understand that the information I receive from the Franchisor, or from any employee, agent, or franchisee of the Franchisor, is highly confidential ("Confidential Information") and has been developed with a great deal of effort and expense to the Franchisor and is being made available to me solely because of this Franchise Application for Additional Information. I agree that I shall treat and maintain all Confidential Information as confidential, and I shall not, at any time, without the express written consent of the board of directors of the Franchisor, disclose, publish, or divulge any Confidential Information to any person, firm, corporation or entity, or use any Confidential Information, directly or indirectly, for my own benefit or the benefit of any person, firm, corporation or other entity, other than the Franchisor.

I authorize the procurement of an investigative consumer report and understand that it may contain information about my background, character, general reputation, mode of living, credit worthiness and job performance. I understand that, upon written request within a reasonable period of time, I am entitled to additional information concerning the nature and scope of this investigation. I hereby release a credit bureau or security consultant selected by the franchisor and Gandolfo's DeliBoys, LLC, their officers, agents, employees and servants from any liability arising from preparation of this report or investigation relating thereto.

This authorization for release of information includes, but is not limited to, matters of opinion relating to my character, ability, reputation, and past performance. I authorize all persons, schools, companies, corporations, credit bureaus, and law enforcement agencies to release such information without restriction or qualification to a credit bureau or security consultant selected by the franchisor and Gandolfo's DeliBoys, LLC, and any of their officers, agents, employees and servants. I voluntarily waive all recourse and release them from liability for complying with this authorization. This authorization/release shall apply to this as well as any future request for an investigative consumer report by the above named firm. I authorize that a photocopy or facsimile of this release be considered as valid as the original.

I agree that I will settle any and all previously unasserted claims, disputes or controversies arising out of or relating to my Franchise Application for Additional Information or candidacy for the grant of a Gandolfo's New York Delicatessen franchise from Franchisor, exclusively final and binding arbitration in accordance with the Commercial Arbitration Rules of the American Arbitration Association (the "AAA") at a hearing to be administered by the AAA to be held at Atlanta, Georgia or in such location in the state of Georgia designated by the AAA. Such claims include, but are not limited to, claims under federal, state, and local statutory or common law, such as the Age Discrimination in Employment Act; Title VII of the Civil Rights Act of 1964, as amended, including the amendments of the Civil Rights Act of 1991; the Americans with Disabilities Act; the law of contract and law of tort.

Please fax Personal Financial Statement to (770) 513-7849   Printable Personal Financial Statement
<- Please check to indicate: I have read, understood, and agree to the above agreement