Melt n Dip Franchise Application Thank you for your interest in Melt n Dip franchising. Please complete the application below to be considered for a franchise opportunity. Please note: Incomplete applications may not be considered. Personal Information Full Name Phone Number Email Address Current Home Address Financial Information Current Net Worth Total assets minus total liabilities. Current Liquid Assets You may be asked to provide current bank statements. Select liquid assets amountUnder $150,000$150,000 - $300,000$300,000 - $450,000$450,000 - $600,000$600,000 - $750,000$750,000 - $900,000$900,000 - $1,050,000$1,050,000 or more Funding Plan Location Interest Have you visited a Melt n Dip location? YesNo Country of Interest Preferred State / Area Select preferred areaOutside USAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming First Choice Location Second Choice Location Third Choice Location Would you consider opening in a location outside your top 3 choices? Select an optionYesNoMaybe Franchise Background How did you learn about Melt n Dip franchising? Please also mention if you know or are related to any current franchise partners or corporate employees. Your Expected Involvement Day-to-day OperatorInvestor OnlyOther If Other, Please Specify Operational Plan Melt n Dip is a hands-on business and requires a dedicated operator for every store. Will you be partnering with someone? Legal & Business History Have you ever been convicted of a crime? YesNo Have you ever been party to a lawsuit? Are you currently, or have you ever been, affiliated with any other franchises? Professional Experience Professional Background