Magazine Business Opportunity Full Application

BIZAPP - Magazine Business Opportunity Full Application

Please Complete this application in full. This application does not obligate the applicant to become an owner of the Magazine Business Opportunity. Note: Failure to answer any question will delay application.

Step 1 of 4

How did you hear about this Magazine Business Opportunity?*
Today's Date*
Name (First and Last)*
Phone*
Spouse's Name (First and Last)*
Spouse's Phone*
Address*
Street Address Address Line 2 City State ZIP Code
How long at this address*
Best time to Contact*
City-State or Location / Market Preference (Please provide first two choices)*
First Choice Second Choice
Which of the following reasons are you considering an investment with us?*
- To Operate yourself
- Investment Only (Will have others run operation)

Personal Information
Current Occupation*
Are you self employed?*
- Yes
- No
Name of Company or Corporation
Company or Corporation Phone
Company or Corporation Address*
Street Address Address Line 2 City State ZIP Code
Dates of Employment (From and To)*

ie: From: MM/YYYY - To: MM/YYYY
Number of People Supervised
Annual Salary*
Applicants Specialized Training?*
Have you ever Been Self-Employed? Please Explain.*
Do you have any related experience? Magazine, Print, Advertising or Marketing? Please Explain.*
What college did you attend?*
Years in College?*
What was your Major?*
What is your current Health Status?*
Personal References (List 3)*
Reference 1 Reference 2 Reference 3
Name, Phone, Address, City, State, Zip

BIZAPP - Magazine Business Opportunity Full Application

Step 1 of 4

Personal Information

Financial Information (List of Assets)

Financial Information (List of Liabilities)

Financial Information (Net Worth)

Magazine Business Development Information

Please indicate the amounts of capitol you intend to invest from the following Sources