Preliminary Franchise Application

If you are searching for an exciting business opportunity, then look no further. Not only will the DuraFloor opportunity stand apart in terms of profitability, there will also be an unprecedented franchise support system to ensure your success. Please don't hesitate to contact us to get more information about the DuraFloor business opportunity.
Thank your for you interest!

• The
  Opportunity
• Business Opportunity Q&A
• DuraFloor Provided Services
• Franchise Estimated Costs
• Become a Franchisee
• Preliminary Application

First Name:	Middle Name:	Last Name:
Are you a US Citizen?
Social Security Number:	Birthdate:
Spouse First Name:	Middle Name:	Last Name:
Social Security Number:	Birthdate:
Telephone:	Business Phone:
Address:
City:	State: Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hapshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	Zip Code:
Preferred Market Area: (1)       (2)
Will you devote full time to this business? Yes       No
If not, who will manage the business?
Current Annual Income:	Do you own your home or rent? Own       Rent
Your total assets:	Your total liabilities:
Cash available for immediate investment:
If qualified, are you immediately available? Yes       No		When?
Please list the nature of your current and previous employment:
How did you learn of this Franchise Opportunity?
Why are you interested in becoming a member of the DURAFLOOR team?