Please complete all of the required information below: Name (First, Last) * Date of Birth: Primary Phone * Alternate Phone Email Address * Street Address * City * State/Province * - - Choose One - - Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Spouse's Name Children including ages Highest Education Completed High School College Master's Other Are you a veteran? Yes No Current Occupation * If available, please upload a current resume File types accepted: .doc, .docx, .pdf Please list the Postal Zip Codes where you are interested in a coverage area. We will use these as part of our feasibility study: * What interests you about becoming a Snaggle Foot franchisee? * How much cash are you prepared to invest in a Snaggle Foot franchise? * What experience do you have in the pet care service industry? If you do not have professional pet care experience, please let us know what other qualifications you have that would prepare you to operate a Snaggle Foot franchise. Are you planning to operate your franchise on a full-time or part-time basis? What is your time frame for opening a Snaggle Foot? * When is the Best Time to Call You? * i.e., after 6pm EDT, weekends, etc. By submitting this form, you agree to have a Snaggle Foot franchise representative contact you in regards to the purchase of our franchise system. Snaggle Foot treats all information submitted through this secure form as confidential. Like you, we appreciate privacy and clean inboxes, and will not use your contact information for any marketing purposes, nor will we share your information with any third party. Under no circumstances does the submittal of your application, or its subsequent review and processing imply, in any manner, our intention to offer you a franchise. You are not accepted as a Snaggle Foot Franchisee unless and until you and Snaggle Foot execute a Franchise Agreement. You also recognize there are additional disclosures that must be made prior to your acceptance as a Snaggle Foot franchisee, including our Franchise Disclosure Document.