Applicant Name
E-mail Address
Street Address
city
State
Zip / Post code
Country
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
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Australia
Austria
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Belize
Benin
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Bolivia
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
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Denmark
Djibouti
Dominica
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East Timor
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El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
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Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
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Guam
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Guinea
Guinea-bissau
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Haiti
Heard and Mc Donald Islands
Honduras
Hong Kong
Hungary
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India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Togo
Tokelau
Tonga
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Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
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Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Work phone (include country code)
Mobile phone (include country code)
VOIP (Skype)
Best way to contact you : Phone/Email/Mobile
Indicate best time to contact
What specific area (city, country) are you interested in applying for?
1st Choice
2nd Choice
3rdChoice
List names (if applicable) of other partners or officers if this is to be a corporation
(Note each partner / owner must complete a separate application)
Have you / your spouse ever worked in the retail industry (in general) and sporting goods industry (in particular)?
If yes, please explain giving details:
Does any member of your family own, operate, or work in a sporting goods retail / distribution company?
If yes, please explain giving details:
Will you or your spouse or your partner devote your full attention / time to this business?
If no, please explain giving details:
Will you or your spouse or your partner be operating the location yourself?
If no, please explain giving details:
Are you or your spouse a partner or officer in any other similar venture?
If yes, please give details:
When
applying for a franchise, do you / your spouse have the legal right to
remain and work in the country for which this application is being made?
Have you / your spouse ever been self employed? If yes, please explain
Have you / your spouse ever had a business failure? If yes, please explain
What generated your interest in Matrix Sports Franchise?
Why do you feel you can become a profitable Franchisee?
What do you feel you can contribute to the organization as a Matrix Sports Franchisee?
Have you ever been convicted of a Felony? If yes, please explain:
Are you currently a defendant in any suits or legal actions? If yes, please explain:
Are you currently obligated to make payments under an order of any state or federal court? If yes, please explain:
Have you ever applied for and / or been denied for a franchise? If yes, please explain:
Are all income taxes settled through the current year? If no, please explain:
Have you ever filed a petition for relief in a bankruptcy court? If Yes, please explain:
Your application must include all of the following items before it can be processed
Current Financial verifications of all listed liquid assets (Bank, Brokerage House)
Personal tax returns for the previous three years
If a Business, Last Financial Statement and Articles of Incorporation
An education and work history (Resume') for yourself and your spouse
Are
any of the Assets listed above subject to any Lien, or does any other
person have an interest in them? If Yes, Please Explain:
Financial Information
Matrix Sports Confidentiality Agreement and Background Inquiry Authorization
In consideration of my spouse and/or myself being selected or considered to be a franchisee or partial owner of a
franchise of Matrix Sports ("MX"), I,
, agree as follows:
1.
All information and materials regarding MX, including, but not limited
to, business plans, financial information, costs and prices, service
charges, formulas, concepts, ideas, photos, drawings, films, visual and
sound recordings, whether written or oral, disclosed to me or learned
by me (hereinafter referred to as the "Information") shall be held by
me in the strictest confidence and shall not, without MX's written
consent, be disclosed to or permitted access by anyone.
2.
I understand that unauthorized use, alteration or disclosure of
Information or any portions thereof may, in addition to a breach of
this Agreement, constitute unfair trade practices, unfair competition
and/or trademark infringement.
3.
I will not compromise MX's trademarks, advertising or systems by any
action, including, but not limited to, recommending to other companies
or persons that they utilize MX's trademarks, advertising or systems in
whole or in part.
4.
All Information shall remain MX's sole and exclusive property, and
shall be returned immediately, in their entirety, including all copies
thereof, to MX's corporate headquarters in London, upon termination of
my relationship with MX or upon MX's request, whichever first occurs.
5.
If I become legally compelled to disclose any of the Information, I
shall provide MX with prompt notice of such request so that MX may seek
a protective order or other appropriate remedy and/or waive compliance
with the provisions of this Agreement. In the event that such
protective order or other remedy is not obtained or that MX waives
compliance with the provisions of this Agreement, I will furnish only
that portion of the Information which I am legally obligated to
disclose.
6.
In connection with my or my spouse’s franchise application
consideration by MX, I understand that investigative inquiries may be
made on myself as to my work habits, performance and experience.
Further, I understand that MX may use an investigative agency
(“Agency”) to request information from various federal, state and other
agencies which maintain records concerning my past activities, criminal
history and consumer report information. I authorize, without
reservation, any party or agency contacted by the Agency to furnish the
above mentioned information, and I consent to MX receiving the above
information from the Agency or any of the Agency’s licensed agents. I
also release MX and the Agency and/or its agents from any claims or
liability resulting from the reporting of this background information.
I agree that a copy of this authorization release is as valid as the
original.
7.
If any part of this Agreement is held to be void or unenforceable, the
remaining terms and provisions shall remain valid and enforceable. The
covenants, representations and warranties contained in this Agreement
shall survive its termination and the termination of any business
relationship between MX and me. The terms of this Agreement shall be
governed by, and interpreted under British law.
Name (Please print):
Other names used:
Current Address:
City:
State:
Zip/Post Code:
How long?
Prior Address:
City:
State:
Zip/Post Code:
How long?
DOB:
Sex:
Driver’s License #:
Soc. Sec.#
Applicant’s Signature:
Date:
Spouse (must complete if married) Name
DOB:
Sex:
Driver’s License #:
Soc. Sec.#
Spouse signature:
Date: