Request for Franchise Consideration

NOTE: Fields marked with an asterisk (*) are required.

*Title:	*First Name:	*Last Name:
*Address:

*City:	*State:	Zip Code:
This is my: Home Address Business Address

*Date of Birth:

Phone:	Business Phone:	Fax:
*Email Address:

*How much capital do you have to invest?

*Select your net worth:

*Where do you want to open stores?
1st Choice	2nd Choice	3rd Choice
*Do you have previous restaurant experience? Yes No
If yes, provide details:
*How did you hear about Locos Grill & Pub?
*Why do you want to own a Locos Grill & Pub franchise?

Please type the letters from the image.

Franchise

Catering

Parties, tailgates
& more, let Locos
cater your event!

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Location

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