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International Franchise Package Request Instructions:

To receive a Franchise Package, you must first complete this form. Please take the time to fill this out completely. It will help us serve you better. All questions must be filled in. Please enter 'N/A' (Not Applicable) or 'None' where appropriate. Once you have filled in each of the questions, click on the "Submit Form" button at the bottom.

This form will be sent directly to our headquarters for processing. Someone from our headquarters will contact you within a few days of submitting this form. If you have questions about the franchise opportunity, please contact us.

(All information submitted will be kept strictly confidential.)

In submitting this completed form, it is understood you are under no obligation.

If a review of this preliminary information indicates that you may have the qualifications to become a franchisee, Kinderdance® Corporation will provide more information on the opportunities available for you to secure a Kinderdance® franchise territory. If you prefer, you may print this form and mail it to Kinderdance International, Inc. 1333 Gateway Drive, Suite 1003, Melbourne, Florida 32901. Or FAX us at 321-984-4490.
Personal Information

Full Name:

Street Address:

City:

State:

Zip Code:

County:

Country:

Home Phone:

Cell Phone:

Business Phone:

Please Call:
Home Cell Business

What is the best time to call during the day?

Complete E-mail Address:

Date of Birth:

Marital Status:
Married Single

Spouse's name:

Ages of children or other dependents:

How did you learn about the Kinderdance franchise?

Territory you would prefer?

Financial Information

Annual Household income:
Self:


Spouse or other:

Please indicate the amount of cash you have available to invest in a Kinderdance business:

When would you be able to start?

Why are you a good candidate for this opportunity?

Employment summary and experience

Do you have any experience working with young children?
Yes No

Have you ever taken dance, gymnastic, or fitness classes as a child or adult?
Yes No

Comments:


Thank you for your interest in the Kinderdance® Franchise.


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NOTE: This information is not intended as an offer to sell, or the solicitation of an offer to buy, a franchise. It is for information purposes only. There are approximately 15 US states and 14 countries that regulate the offer and sale of franchises. The states are California, Hawaii, Illinois, Indiana, Maryland, Michigan, Minnesota, New York, North Dakota, Oregon, Rhode Island, South Dakota, Virginia, Washington, and Wisconsin. The countries are Australia, Brazil, Canada (provinces of Alberta and Ontario), China, France, Indonesia, Italy, Japan, Malaysia, Mexico, Russia, South Africa, South Korea, Spain and the United States of America (federal Law). If you are a resident of one of these states or countries, are receiving this message in one of these states or countries, or intend to operate a franchise in any of these states or countries, we will not offer you a franchise unless and until we have complied with applicable pre-sale registration and/or disclosure requirements in the applicable jurisdiction.

This advertisement is not an offering of a franchise. In New York (USA), an offering of a franchise can only be made by a prospectus that has been previously filed and registered with the department of law of the State of New York. The application for registration of an offering prospectus or the acceptance and filing thereof by the department of law as required by the New York law does not constitute approval of the offering or the sale of such franchise by the department of law or the attorney general of New York.

KINDERDANCE INTERNATIONAL, INC.
Corporate Offices are located at:
1333 Gateway Drive, Suite 1003, Melbourne, Florida 32901
 PHONE: 1-800-554-2334
 FAX: 321-984-4490

All Rights Reserved © 2000 Kinderdance International