RNRWHEELS – Franchise Application

-------------------------------------------------------
SECTION A - PERSONAL INFORMATION
-------------------------------------------------------

First Name *
Last Name *
Street Address
Address (line 2)
City State Zip/Postal Code
Country

Phone *
Alternate Phone
Email *
Confirm email *

-------------------------------------------------
SECTION B - BUSINESS HISTORY
-------------------------------------------------

Present Employer or Company
RTO and/or Wheel Industry Experience

Business Experience

-------------------------------------------------
SECTION C - MISCELLANEOUS
-------------------------------------------------

Net Worth *
Plans to fund franchise
Time Frame - store opening
Where to Open or Territory You Are Interested In:
How did you hear about RNR?

-------------------------------------------------
SECTION D - AUTHORIZATION
-------------------------------------------------

By submitting this form, I certify that the above information is true and complete to the best of my knowledge. I understand that this is not a complete application or a contract and is in no way binding on me or RNR Custom Wheels And Tires. I further understand that the information I provide will be used to evaluate whether I qualify to purchase a franchise from RNR Custom Wheels And Tires as well as will serve as contact information for RNR to use to contact me.

Signature *
Date (mm/dd/yyyy)