Villa La PAWS Franchise Questionnaire

This is the next step of the Villa La Paws® Franchising process.

Please complete the following form completely and one of our Franchising Representatives will be in contact with you.

Your state may have a franchise law that requires a franchisor to register or file with a state franchise administrator before offering or selling in your state. Villa La Paws has NOT been registered in the following states: CT, HI, IN, MD, MI, MN, ND, OR, RI, SD, VA, WA, WI.

We will be registering with these states as the market warrants,

Your Name (First/Last)
Your Address
Your City
Your State (2 Digit)
Your Zip Code
Your Phone Number
Best Time to Contact You

Franchise Offering Interest?

Available Capital

You Intend to Finance With:

Why are you interested in this business?
Why are you contacting us now?
What is your anticipated timeframe?

What will be your largest obstacle?
Relevant business experience:
Relevant animal care experience?
Litigation in the past 5 years?

How did your hear about us?

Please Read!

I understand that the granting of a franchise is at the sole discretion of the Franchisor (Villa La Paws®, LLC.)

I understand that any information I receive from the Franchisor or from any employee, agent or franchisee of the Franchisor is highly confidential ("Confidential Information"), has been developed with a great deal of effort and expense to the Franchisor, and is being made available to me solely because of this Application.

I agree that I shall treat and maintain all Confidential Information as confidential, and I shall not, at any time, without the express written consent of the board of directors of the Franchisor, disclose, publish, or divulge any Confidential Information to any person, firm, corporation or other entity, or use any Confidential Information, directly or indirectly, for my own benefit or the benefit of any person, firm, corporation or other entity, other than for the benefit of the Franchisor.

I authorize the procurement of an investigative consumer report, a general background search and an investigation in accordance with anti-terrorism legislation, such as the USA Patriot Act and Executive Order 13224 enacted by the US Government (collectively referred to as "Investigations"). I understand that these Investigations may reveal information about my background, character, general reputation, mode of living, association with other individuals or entities, creditworthiness, litigation history and job performance. I understand that, upon written request, within a reasonable period of time, I am entitled to additional information concerning the nature and scope of these Investigations. I hereby release a representative of the Franchisor, a credit bureau, security consultant or other investigative service provider selected by the Franchisor, its officers, agents, employees, and/or servants from any liability arising from the preparation of these Investigations.

This authorization for release of information includes but is not limited to matters of opinion relating to my character, ability, reputation, association with others and past performance. I authorize all persons, schools, companies, corporations, credit bureaus, law enforcement agencies or other investigative service providers to release such information without restriction or qualification to a representative of the Franchisor, a credit bureau, security consultant or other investigative service provider selected by the Franchisor and any of its officers, agents, employees and/or servants. I voluntarily waive all recourse and release them from liability for complying with this authorization. This authorization/release shall apply to this as well as any future request for these Investigations by the above named individuals or entities. I authorize that a photocopy or facsimile of this release be considered as valid as the original.

I agree that I will settle any and all previously unasserted claims, disputes or controversies arising out of or relating to my application or candidacy for the grant of a Villa La Paws® franchise from Franchisor, exclusively by final and binding arbitration at a hearing to be administered by a neutral arbitrator in accordance with the Commercial Rules of the American Arbitration Association and to be held at Phoenix, Arizona, USA, unless my local laws require otherwise. Such claims include, but are not limited to, claims under federal, state, provincial or common law, such as employment law, civil rights law, contract law and tort law.

Everything that I have stated in this application is true and I understand that the information provided by me will be relied upon by the Franchisor. In accordance with anti-terrorist legislation, I understand that I will not be approved to purchase a franchise if I have ever been a suspected terrorist or associated directly or indirectly with terrorist activities. I read, understand, and agree to all of the above.

By checking this button below, I acknoweledge that I have read, understand, and agree to all of the above.

I also understand that this is not a contract and supplying or completing this form incurs no obligation on either party.

Note: If this button is unchecked we will NOT contact you.

I Agree and Understand

Your Email Address For Validation