Franchise Application Form

Contact Information
First Name
Surname
E-mail Address
Residential Address
Contact Number
Names of all Parties Interested in Franchise
Personal Information
Current Occupation
Current Annual Income
Do you rent or own your home?
If own, estimate value
If own, amount owed on mortgage (if applicable)
Estimated Net Assets
Estimated Liquid Assets (cash and assets easily saleable)
How do you intend to fund your franchise investment?
Do you suffer from any long-term physical or emotional health problems?	Yes No
If yes, please specify
Have you / your spouse / your business partners ever been convicted of a criminal offence?	Yes No
Business Information
Have you ever been self employed?	Yes No
If yes, please provide details
Have you ever been involved in the retail sector?	Yes No
If yes, please provide details
How much time do you / your family / your business partners envisage working at the business? Please indicate in percentage.
What Australian state is your preferred business location?
If you have a preferred location within the above state, please indicate
Have you / your spouse/ your business partners ever been bankrupt or have been a director of a company that has been placed in administration?
Your Cold Rock Experiences
How did you hear about Cold Rock Ice Creamery?
What Cold Rock stores have you visited?
What has prompted your interest in a Cold Rock franchise?
Authorisation to Submit Form

The information that you have provided in this application will be treated as Commercial in Confidence and will not be made available to any party. The purpose of this application is for information purposes only. It does not bind you to Cold Rock in any way.

By selecting the ‘submit’ button below, you confirm that this information is true and complete.