Franchisee Information Form

Sponsors Of

49ers Broadcast

First Name
LastName
Company (if applicable)
Address 1
Address 2
City
State
Zip
Phone
Mobile Phone
Email
Confirm Email

Describe how you heard about Black Bear Diner

Describe your previous business experience (ie current job details, previous employment, company ownership)

Do you have any restaurant experience? Please explain, include brand(s) you worked for, in what capacity and when.

Do you have an equity partner(s) to meet the minimum financial requirements?

Describe the financial structure you would most likely use to fund this investment?

Any additional information you would like us to know?

Franchise Sales Disclaimer: This information is not intended as an offer to sell, or the solicitation of an offer to buy, a franchise. It is for informational purposes only. No Black Bear Diner franchises will be sold to any resident of any state until the offering has been exempted from the requirements of, or duly registered in and declared effective by, such state and the required Franchise Disclosure Document (if any) has been delivered to the prospective franchisee before the sale in compliance with applicable law.

Currently, certain states regulate the offer and sale of franchises.

In the US: California, Hawaii, Illinois, Indiana, Maryland, Michigan, Minnesota, New York, North Dakota, Oregon, Rhode Island, South Dakota, Virginia, Washington and Wisconsin.

If you reside in one of these states, provinces or countries, or even if you reside elsewhere, you may have certain rights under applicable franchise laws or regulations.

49ers Broadcast

Black Bear Diner

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