CCI Request for Consideration Form Interested in owning a Creative Colors International Leather Repair Franchise? Learn more about the benefits and let us know by filling out this form. Request for Consideration Form Step 1 of 4 25% We would like to know more about you in order to properly evaluate your qualifications for consideration as a CREATIVE COLORS INTERNATIONAL® franchisee. This is not an application. If you qualify, we will send you an application as well as more information about CREATIVE COLORS INTERNATIONAL®. Please have every proposed member of your franchise group fill out a copy of this form. Thank you.Personal InformationName*Social Security Number*Address*City*State/Province*Zip/Postal Code*Home Phone*Business PhoneEmail Address* Number of years at home residence*Driver's License Number*Date of Birth* Marital Status*Marital StatusSingleMarriedSpouse's NameSpouse's Social Security NumberSpouse's Email Business Experience (please attach resume)(Please identify the company, your position and major responsibilities.)Current Position*Previous Position*Previous PositionHave you ever operated your own business or partnership?*YesNoIf yes, tell us about it.How long have you been looking at franchise opportunities?How did you hear about CREATIVE COLORS INTERNATIONAL®?*Do you plan to work full time in this business?*YesNoWill members of your family work with you?*YesNoAre you color blind?*YesNoWill you have equity partners?*YesNo ReferencesList three character references other than family.1.*2.*3.*What is the preferred location for your franchise (City & State/Province)?*Why do you want to own and operate your own business?*Why a CREATIVE COLORS INTERNATIONAL® franchise?* Preliminary Financial DisclosureAssets ($)*Liabilities ($)*Net Worth ($)*Unemcumbered Liquid Assets ( Savings/Checking, Mutual Funds, etc...) ($)*Equity in personal residence ($)*Other Real Estate ($)*The above and attached information is provided by the inquirer(s) for the specific purpose of determining qualification for a Creative Colors International® franchise. This information is for Creative Colors International® internal use only in rendering a decision and will be kept in confidence. The undersigned expressly agrees that all banks, institutions, persons, firms, and corporations, referred to in the above are authorized to give Creative Colors International® all information concerning this franchise evaluation. I (we) affirm that this evaluation form is a true, accurate, and complete representation of my (our) financial and operational qualifications and background. Creative Colors International® is additionally authorized to contact Dunn and Bradstreet and any other credit bureaus for the purpose of determining financial qualification.