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FRANCHISE INQUIRY

The purpose of this application for an AmeriStop Food Mart Franchise is to provide information to Ohio Valley AFM, Inc. ("Company") for preliminary evaluation of the applicant. Completion of this Application does not obligate either the applicant or the Company to franchise.

Full Name:
Street:
City:
State:
Zip:
Business Phone:
Home Phone:
E-mail:

Have you ever owned your own business/franchise? Yes No
If so, give details:

Geographical Location Preferences:
Please list the areas where you would prefer to locate your franchise.

Are you willing to relocate? Yes No
Where?

As I consider my experience and abilities, I am confident that I can operate a successful AmeriStop Food Mart primarily because:

Other comments:

By submitting I verify that the above information is complete and correct.
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