Franchisor Enrollment

FRANCHISE COMPANY NAME: _____________________________________
ADDRESS: ______________________________________________________
CITY: ___________________________________________________________
STATE: _________________________________________________________
ZIP CODE: _______________________________________________________
TELEPHONE: ____________________________________________________
CELL PHONE: ___________________________________________________
WEBSITE: _______________________________________________________
E-MAIL ADDRESS: ________________________________________________
COMPANY OWNED UNITS: _________________________________________
FRANCHISED UNITS: ______________________________________________

Membership Effective Date: (Month) ___________ (Day) ______(Year) _______

Either party may cancel this membership at any time by giving 5 days notice.

FRANCHISOR OWNER: PRINT FULL NAME / TITLE _________________________________________________________________

FRANCHISOR OWNER: SIGNATURE _________________________________________________________________

PLEASE SEND A COMPLETE HARD COPY OF YOUR UFOC. PRINT MEMBERSHIP FORM & MAIL TO: UNITED STATES FRANCHISE ASSOCIATION 19078 SKYRIDGE CIRCLE BOCA RATON FLORIDA 33498 TELEPHONE (561) 482-9557