Buffalo Chicken Wings - Midtown Atlanta Restaurant - JR Crickets

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OWNERSHIP OPPORTUNITIES

PERSONAL HISTORY - (R) indicates required field

Name:

(R)

Street:

(R)

City/State/Zip:

(R)

Date of Birth:

(R)

Telephone Numbers:

Home: (R)

Business: (R)

E-Mail:

US Citizen?:

(R)

BUSINESS INFORMATION

Current Occupation:

(R)

How Long?:

(R)

Do you plan to personally operate the business?:

(R)

If YES, how are you qualified to operate a restaurant? If NO, enter N/A and proceed to next field.
(R)

If NO, what will your role be? Enter N/A if you completed field above.

(R)

Why have you chosen J. R. Crickets?

(R)

How did you find out about J. R. Crickets Enterprises, Inc. business opportunities:

(R)

SITE SELECTION

Describe your ideal location:

(R)

Area:

State: (R)

Country: (R)

City or Town: (R)

Why have you chosen this area?:

(R)

Do you have a specific location in mind?

If YES, please give the address. If NO, enter N/A.

(R)

Page Updated 10/21/2009