Franchise Application

This franchise application will help you in preparing and presenting your personal information for confidential use by PostNet to determine your qualifications as a franchisee.

Please complete it with as much detail as possible. The completion of this form places no continuing obligation on either party. Please have each person signing fill out a separate application.

Application

Are you a Australia Citizen?

YesNo

Do you have access to the funds needed to open a PostNet franchise?

YesNo

Are you a veteran?

YesNo

Have you ever filed bankruptcy or are you in process of filing bankruptcy?

YesNo

Assets

Home Value

Other Real Estate

Autos, Boats, Vehicles

Other Personal Property

Liquid Funds/Cash

Other Investments or Assets

Liabilities

Mortgages (owed on home)

Owed on other Real Estate

Owed on Autos, Boats, Vehicles

Owed on Credit Cards

Other Loans or Debts

Owed on Other Investments or Assets

Current Monthly Household Income

Monthly Household Operating Expenses

Do You Have a Spouse or Partner That Will Be Actively Involved in the Franchise?

YesNo

What is Your Spouse or Partner's Name?

Do You Plan on Financing Any Portion of Your Franchise?

YesNo

What Method of Financing Are You Considering?

Rate Your Overall Computer Skills, 5 being the highest

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Rate Your Overall Networking and Sales Skills, 5 being the highest

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Rate Your Organizational Skills, 5 being the highest

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I, and hereby authorize PostNet Australia Pty. Ltd, upon the execution of this consent form, to investigate the information contained in my application, and other background information, for the sole purpose of obtaining information relevant to my qualifications as independent franchisee thereof. I understand that this means I may be subject of a 'consumer report' from an outside agency, which report may contain information about my credit worthiness, credit standing, credit capacity, character, police and criminal records, general reputation, personal characteristics and mode of living, whichever are applicable. By signing below, I authorize PostNet to obtain or cause to be obtained, a consumer report upon receipt of this form or at any time during which I am a franchisee. PostNet is an equal opportunity company and does not discriminate against applicants with regard to race, colour, gender, sexual orientation, age, religion, disability or any characteristic protected by applicable law. I understand that inquires on this application, which ask for my address and date of birth, are for identification purposes only. I understand that age is not considered in making decisions concerning independent franchisees. I release PostNet or its agents and any person or entity that provides information pursuant to this form any and all liabilities arising from any claims, lawsuits, or other actions in regard to the information obtained from any and all of the above referenced sources. I further agree that the giving of any false, misleading or incomplete information will be grounds for denial or termination. I agree on my own behalf to indemnify, defend and hold harmless PostNet, its parent, subsidiaries, affiliates, employees, agents and customers from and against any demands, claims, liability arising from the gathering and use of any information obtained from any and all of the above referenced sources. The above information is my true and complete legal name and all information is correct to the best of my knowledge.