PLEASE PRINT OUT Applicant full legal name:
Permanent address:
City:
State:		Zip code:
Business tel:
Home tel:
Cell:
Fax:
Email:
Business name:
Business address:
Federal tax ID number:		State registered in:
Corporation: Sole Proprietorship: Partnership: LLC:
OWNERS/ PARTNERS/ OFFICERS
Name:
Title:		S.S. #:
Name:
Title:		S.S. #:
Have you ever operated a business in a major mall:
- If yes, when:
- For how long:
- Type of business:
- Products:
- Mall name and location:
BUSINESS AND TRADE REFERENCES
Bank:		Account #:
Contact and tel:
Trade reference/ company name:
Address:
Contact name:
Tel:
Trade reference/ company name:
Address:
Contact name:
Tel:
Trade reference/ company name:
Address:
Contact name:
Tel:
PREFERRED CART LOCATIONS
Mall name:
Address:
City:		State:
Why are you interested in this mall:
Mall name:
Address:
City:		State:
Why are you interested in this mall:
Why do you believe you will be successful at your own business venture:
How involved will you be in the daily operation of your Rudolph and Me cart:
Will you be operating any other carts at the same time:
By signing this application, the applicant agrees to allow Rudolph and Me, Inc. to contact the business and trade references listed above to verify information provided in this application; and to obtain credit reports on the principals if the applicant is a sole proprietorship or partnership. Any false or misleading information in this application may render it voided.
Signed By:
Title:		Date:
Print Name:
A completed application must be submitted to be considered for a Rudolph and Me owner/operator.