Confidential Financial Application


This form is intended as an indication of your interest in receiving further information on Travel Network. It is not a contract and does not obligate you in anyway. Rather, it is a brief sketch of you and your situation, providing information which w e have found effective in building a basis from which to further discuss your potential interest in Travel Network. You have our assurance that this information, as well as everything we discuss, will remain strictly confidential.

PERSONAL DATA

Name:
Address:
City: State: Zip:
Home Phone: Best Time To Call:

BUSINESS DATA

Current Employer:
Self Employed? Yes No
Business Address:
City: State: Zip:
Business Phone: May we contact you at work? Yes No
How Long With Firm?
Position/Title
Business Background
Salary Range: Under $30,000 $30-50,000 Over $50,000
Net worth: Under $150,000 $150-250,000 Over $250,000
Liquidity: Under $40,000 $40-70,000 Over $70,000
Equity in real estate:

GENERAL

Do you intend to operate this business yourself?Yes No
How many Travel Network stores are you interested in?Single Store Multiple Stores
Location desired: 1st Choice
2nd Choice

WORLD CORPORATE HEADQUARTERS
560 SYLVAN AVENUE
ENGLEWOOD CLIFFS, N.J. 07632
TEL. (201) 567-8500
FAX (201) 567-4405
Email: franchise@travnet.com