Qualification Summary
This form is the first step in our mutual evaluation process. Our process is designed to answer all of your questions, as well as, ours, and determine if a business relationship together would be mutually rewarding and profitable. The information you provide is strictly confidential and does not obligate either party in any manner.

informaiton About Myself:
Salutation
Name
Address
City
State/Province
Zip/Postal Code
Country
Home Phone
Work Phone
Email * Email is required
Age
Date of Birth
Married?
Spouse's Name
Number of Children at Home
Education:
HighSchool
College
Work Experience:
Present Occupation
How Long at Present Job?
Annual Income
Spouse's Occupation
Spouse's Annual Income
Interest in a Business:
How did you hear about MARBLELIFE?
What caused you to respond to us now?
When would you like to start your own Franchise?
I have previously owned a business:
What appeals to you the most about MARBLELIFE
i would like my exclusive territory to be in what area?
Business and Management Plans:
Do you plan to devote full time to this business venture?
Will your spouse be active in the business?
Do you plan to have equity partners?
Financing My Business:
Do you own your own home?
Years Owned
Approximate Market Value
Mortgage Balance
How much capital do you have available to invest in this business?
How will you produce funds?
Personal References:  
Name
Phone
Name
Phone
   
Important  

The person(s) signing this application certify that the above is true and correct to the best of their knowledge. The undersigned authorize MARBLELIFE, Inc. to make inquiries about the undersigned they consider necessary and appropriate concerning the above information and to give information about this transaction to other parties, including credit-reporting agencies in accordance with the law. If this application is granted, I agree to notify you of any material change in my financial condition. Submission of this form does not obligate MARBLELlFE, Inc. or the undersigned in any manner.

Accept MARBLELIFE terms.