1、2.PAPA JOHN S INTERNATIONAL, INC.2002 PAPA JOHNS BLVD., LOUISVILLE, KY 40299PHONE 502.261.7272 FAX 502.261.4140Better Ingredients.Better Pizza.GLOBALBUSINESSDEVELOPMENT全球商業(yè)發(fā)展REQUEST FOR CONSIDERATION FORM加盟合作申請意向表The information requested in this form is used to evaluate your qualifications to be aw

2、arded a Papa John(Please print or type your resp on ses.)該表所要求填寫的信息用以評估是否具備加盟棒！約翰的資格。(請打印表格內(nèi)容)PERSONAL DATA個人信息Name:Date of Birth:姓名：出生日期：Social Security, Passport or Country ID Number:_社保號、護(hù)照號或身份證號：Address:_地址：State, Coun try, Zip Code:國家省份郵編：Citize nship:-國籍：Email Address:_電子郵件地址：Home Telephone:家庭

3、電話：Busi ness Telephone_單位電話：Mobile Teleph one:手機(jī)：Facsimile:傳真：Marital Status:婚姻狀況：Spouse s Name配偶姓名：What specifically drove you to con tact Papa Joh ns at this time? (Please be specific as to the exact n ewspaper,magaz ine, etc.)這一次是什么促Area(s) of In terest:有意向的區(qū)域：1._Number of Un its You Wish to Deve

4、lop:希望開設(shè)店鋪數(shù)量：2.PAPA JOHN S INTERNATIONAL, INC.2002 PAPA JOHNS BLVD., LOUISVILLE, KY 40299PHONE 502.261.7272 FAX 502.261.4140PAPA JOHN S INTERNATIONAL, INC.2002 PAPA JOHNS BLVD., LOUISVILLE, KY 40299PHONE 502.261.7272 FAX 502.261.4140BUSINESS EXPERIENCE商業(yè)經(jīng)驗r Please list prese nt or most recent compa

5、ny in formatio n.請列舉目前或最近公司信息。Compa ny Name:公司名稱：Type of Busi ness:_企業(yè)類型：Address:_地址：Papa Joh n s Intern ati on al, I nc.Request for Con siderati on FormPage Two棒！約翰 國際有限公司加盟合作申請意向表 第 2 頁P(yáng)resent / Most Recent Position: _目前/最近職位：Dates Positi on Held:_任職日期：Number of People You Directly Man age: _直接管理人

6、數(shù)：Previous Positio ns:-之前職位：Have You Ever Owned a Bus in ess?是否曾經(jīng)擁有過一家企業(yè)？Yes有No無If Yes, What Type of Busin ess?如果有，是什么企業(yè)類型？Do You Pla n to Devote Full Time to This Bus in ess Ven ture?YesNo您是否計劃全職經(jīng)營這次商機(jī)？是否Will You Have Equity Part ners?YesNo您是否有股東合伙人？是否(If yes, please ide ntify all part ners in the

7、Bus in ess Structure sect ion of this form.)(如果是，請在本表格的商業(yè)結(jié)構(gòu)欄中寫明所有合伙人。)Why do you believe you can successfully operate a Papa John s franchise in you? area(s) of interest您為何認(rèn)為自己能夠在所意向區(qū)域成功經(jīng)營棒！約翰？PAPA JOHN S INTERNATIONAL, INC.2002 PAPA JOHNS BLVD., LOUISVILLE, KY 40299PHONE 502.261.7272 FAX 502.261.41

8、40Additional information you would like to share with us in evaluating your Request for Consideration form: 愿意提供用來評估申請意向表的其他信息：Are you now, or have you in the previous ten years, bee n aNoparty to any lawsuit, arbitrati on, mediati on, ban kruptcy or other legalproceed ing?您目前或在前十年內(nèi)是否參與任何訴訟、 裁決、 調(diào)解、

9、 破產(chǎn)或其他法律訴訟? 否If yes, please provide details:如果是，請?zhí)峁╂锕?jié):Have you ever bee n con victed of a felony?_ YesNo您是否曾犯有重罪？_是_ 否If yes, please provide details:如果是，請?zhí)峁╂锕?jié):Papa Joh n s Intern ati on al, I nc.Request for Con siderati on FormPage Three棒！約翰 國際有限公司加盟合作申請意向表 第 3 頁P(yáng)FRSONAL FINANCIAL STATFMENT個人財務(wù)報告P

10、ers onal Finan cial Stateme nt as of: 個人財務(wù)報告，自（日期）：Name:姓名:Address:地址:_ Yes_ 是 _PAPA JOHN S INTERNATIONAL, INC.2002 PAPA JOHNS BLVD., LOUISVILLE, KY 40299PHONE 502.261.7272 FAX 502.261.4140Social Security Number or other Country ID Number: 社會保險編號或其他國家身份證號：Assets:資產(chǎn)：Amount in US $:以美元計：Cash - check i

11、ng accou nts 現(xiàn)金一活期存款-Cash - sav ings accou nts 現(xiàn)金一儲蓄存款Certificates of deposit 存款單Securities - stocks / bonds / mutual fun ds 有價證券一股票 / 債券 / 共同基金Notes & con tracts receivable 應(yīng)收票據(jù)和契約Automobiles 汽車Vested in terest in defferred compe nsati on/profit shari ng pla ns 遞延補(bǔ)償/利益分配計劃中的既得利益Real estate (market

12、value)房地產(chǎn)(市值)Other assets (specify)其他資產(chǎn)(請注明)Other assets (specify)其他資產(chǎn)(請注明)Total Assets:總資產(chǎn)：_Liabilities:債務(wù)：Amount in US $:以美元計:Current Debt (Credit cards, Accounts)目前債務(wù)(信用卡、賬 單)Notes payable (describe below)應(yīng)付票據(jù)(在下面描述)Taxes payable 應(yīng)付稅款Real estate mortgages (describe)房地產(chǎn)抵押(請描述)Other liabilities (sp

13、ecify)其他債務(wù)(請注明)Other liabilities (specify)其他債務(wù)(請注明)Total Liabilities: 總債務(wù)：_Net Worth:資產(chǎn)凈值：_Papa Joh n s Intern ati on al, I nc.Request for Con siderati on FormPage Four棒！約翰 國際有限公司加盟合作申請意向表 第 4 頁P(yáng)ROPOSED COMPANY STRUCTURF規(guī)劃公司結(jié)構(gòu)A.Proposed Own er(s):計劃所有者：Name:Address:Social Security Number:Active in F

14、ran chise?姓名：地址：社會保險編號：目前是否有特許經(jīng)營？1.PAPA JOHN S INTERNATIONAL, INC.2002 PAPA JOHNS BLVD., LOUISVILLE, KY 40299PHONE 502.261.7272 FAX 502.261.41402._3._B.Proposed Principal Operator:建議主要經(jīng)營者：Name:Address:Social Security Number:姓名：地址：社會保險編號：C.What will be your company s organizational structure (e.g., P

15、artnership, Corporation, LLC, etc.)?_您將采取何種公司結(jié)構(gòu)(如合伙公司、股份有限公司、有限責(zé)任公司等)？D.If lender financing, please name specific resources: _女E.Please attach a resume or C.V. and finan cial stateme nt for each proposed owner and your Prin cipal Operator candidate.請附上每位計劃所有者和主要經(jīng)營者申請人的簡歷和財務(wù)報表。ACKNOWLEDGEMENT確認(rèn)By sig

16、ning and submitting this form to Papa Johns International, Inc., you hereby authorize Papa JohnsIntern ati on al, I nc. and or its age nt to perform backgro und checks in cludi ng obta ining your con sumer credit report froma credit report ing age ncy. Your sig nature also authorizes, without reservati on, any age ncies con tacted to furnish yourconsumer credit information and release all parties involved from any liability and responsibility for doing so. Thisauthorization and consen