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Franchise Application

If partners will be involved, please submit an application for each.

*required fields
Brand of Interest
  • Please select which brand.
Personal Data
  • Please enter your first name.
  • Please enter your last name.
  • Please enter your birth date.
  • This isn't a valid email address.
    Please enter your primary email address.
  • Please enter your home address.
  • Please enter your city.
  • Please pick a state / province.
  • Please enter your zip code.
  • This isn't a valid phone number.
  • This isn't a valid phone number.
    Please enter your cell phone number.
Employment and Business Data
  • Please enter your employer.
  • Please enter your first name.
  • Please enter your current salary.
Financial Data
(Put zero for any answers that have no balance or do not apply. Please do not use ‘$’ or a ‘,’ in your answers below as it will not calculate properly (Correct format: 10000 Incorrect format: $10,000).)
  • Assets
    • Please enter your cash assets.
    • Please enter your real estate home assets.
    • Please enter your other real estate assets.
    • Please enter your automobile assets.
    • Please enter your stock bond assets.
    • Please enter your retirement accounts.
    • Please enter your personal business assets.
  • Liabilities
    • Please enter your home real estate mortgage.
    • Please enter your other real estate mortgage.
    • Please enter your auto loans.
    • Please enter your credit card debt.
    • Please enter your business loans / debt.
    • Please enter your other debt.
  • Current Monthly Income
    • Please enter your montlhy salaries.
    • Please enter your montlhy dividends and interest.
    • Please enter your other montlhy income.
    • Current Monthly Expenses
    • Please enter your other montlhy home mortgage.
    • Please enter your other payment monthly real estate.
    • Please enter your other monthly expenses.
Business Operation
  • Please enter who will be responsible for daily operation.
    Please make a selection.
    Please make a selection.
    Please make a selection.
    Please make a selection.
    Please pick an answer.
    Please pick an answer.
  • Preferred Locations
  • Winmark’s acceptance of this application should not be considered as a grant of a franchise. We grant franchises ONLY by executing a written franchise agreement. Everything I have stated in this application is true and accurate. By clicking below to submit, this is my authorization to credit reporting agencies, bank(s), creditors and suppliers to release to Winmark, and to Winmark to release to such parties, all information requested regarding my depository, loan or other credit information including, without limitation, financial information, by telephone or in writing as part of the normal credit evaluation process. I release my bank(s), creditors, suppliers and Winmark from all liability with respect to the release of any such requested information. Authorization is granted to use fax copies of my signature to obtain information. I understand that Winmark may, at any time, require that I sign an updated application or provide updated information.
* Indicates Required Fields