Thank you for expressing interest in a Daphne's GC franchise area development agreement.

This request is for general information to evaluate your preliminary qualifications to be awarded a franchise area development. This is not an application. Should you preliminarily qualify and a mutual interest develops, we will request more detailed information. The submission of this form does not obligate Daphne's GC or you in any way or manner.

Please complete the form below, making sure all fields marked with an asterisk (*) have been completed. After we receive your inquiry, we will generally contact you within 15 days to advise you if we are interested in further exploring a relationship and will at that time provide you with additional information.

1. Personal Information Name* Current Address* City* State* Zip Code* Own Rent How Long: Email Address* Daytime Phone* ( ) - Date of Birth Marital Status Highest Level of Education GED High School Diploma Bachelor's Degree Master's Degree Can you include a copy of your current resume? Yes No (If you answered 'yes', please e-mail your resume to franchising@daphnes.biz)

2. Business Interest Why did you choose Daphne's over other franchising opportunities?* What regions are you interested in developing?* First Choice: Second Choice: Would you be willing to relocate? Yes No Can you meet the liquid capital and net worth qualifications? Yes No

3. Review And Send Review your entries and click the 'Send Request' button to forward your information request on to our Franchise Development department. Enter Security Code: Can't read the number?