CANDIDATE INFORMATION DOCUMENT

The purpose of this document is to provide your general information and certain specific qualifications to help the mutual
evaluation process in regards to the award the exclusive license rights to your country for Presotea®. Should we qualify
and a mutual interest evolves, we will request additional information.

Name (Mr./Mrs./Ms.] _________________________________ Title ________________________

Company _______________________________ __________ Assistant ____________________

Address/Street _________________________________________________________________

City / Postal Code _________________________________ Country_______________________

TELEPHONE NUMBERS

Business _____________________ Mobile _________________ __ Fax ___________________

Email Address _____________________________ and _________________________________

BUSINESS AND MANAGEMENT PLANNING AND OBJECTIVES

Please confirm Country of Interest: _______________________________________________________

Management Team:
Do you plan to devote full time to the license business? Yes_________________ No _________________
If not, do you plan to employ experienced management? Yes _________________ No _________________
Do you plan to have equity partners? Yes_________________ No _________________
If yes, please identify all partners:
_______________________________________________________________________________
Name City, Country Telephone Active/Passive

Projection of Cumulative Number of Units

Year 1&2 Year 3&4 Year 5&6

Projected date of first opening and any related comments: ______________________________________

Comments:

Presotea® Master Franchise Candidate Information Form

Please list top three locations by type and/or city in the Country:

Primary Financial Disclosure

Intended initial capital investment

Source Amount (USD)
Owner (names)
Loan (institution/lender)

Total

Business Ownership and/or Professional Experience

(You can attach a Curriculum Vitae/Résumé if available; Please provide your company’s literature if applicable)
Present (or most recent)

Company
Type of Business
Position
Date
Responsibilities:

Previous position:

Company
Type of Business
Position
Date
Responsibilities:

Previous position:

Company
Type of Business
Position
Date
Responsibilities:

Presotea® Master Franchise Candidate Information Form

Other Current and Previous Business Ownership (Includes as minority shareholder and partnerships)

Name of Company Type of Business

Other Business Affiliations (Partner, Board Member, Officer, Director, etc.)

Name of Company Type of Business

Why do you believe you can successfully operate the license business and why would you want to
acquire the exclusive rights to develop the business?

Please comment on how Presotea® license business fits into your current business and/or personal
objectives.

Presotea® Master Franchise Candidate Information Form

Please share your vision for development of Presotea® business in your country.

Signature: ________________________________ Date: ________________________________

________________________________
(Please print full name)

________________________________
Title

Presotea® Master Franchise Candidate Information Form