is the best time of day to reach you at your home phone
long have you been
searching for a business?
are you looking for a business opportunity?
aspects of your previous employment have you enjoyed
aspects of your previous employment have you
did you become aware of Nova Review Inc.
would you like to open?
what extent would you
be involved in this business?
0 Full-Time 0 Part-Time
anyone else be involved? 0 Yes 0 No
If yes, Who?
you ever been
a principal owner of a business before?
0 Yes 0 No If yes, please explain-
you or your business ever been involved in a bankruptcy?
0 Yes 0
you ever been convicted on a felony? 0 Yes
indicate any previous experience in the following:
Sales Printing or Graphics
feel free to enclose any additional personal or financial
information you feel will assist us.
information on this application is true and correct
to the best of my knowledge as of this date.
that Nova Review Inc. will rely upon this information
in evaluating our application.
Unless I have expressed otherwise in writing,
consent is given for a credit report to be obtained
by Nova Review Inc.
will not contact any present employers until express
permission is granted. I understand this information
will be held in strict confidence and that the delivery
of this form does not cause either
party to incur any obligations.
of Business: The Heavenly GoldcardTM , Cultural Diversity Testing Associates, Inc.Ô
Company Name (if different): Nova Review Inc
Contact Person: Thomas J. Rundqui
Address: 1724 N. State
State, Zip:Big Rapids, MI, 49307-9073 USA
Telephone: 231-796-4637 Voice/Fax email email@example.com Website www.novamediainc.com
of Units (excluding compnay owned)
are in Midwest states.
In 0 countries.
of Company Owned __1_
Territory Code:(1-10) _1_ Franchise Fee:($) 18,000
Requirements: __$18,000 - 41,300__________________In Business Since______1981_____
Business Classification (Check all that Apply)
Franchise___ Mail Order___ Distributor___ Vendor___Dealer__x_ Direct Sales___ Licensor__x_
Description of Operation: Good
Training and Support (Y or N):
Y Financing (Y or N): Y
Goodwill Card for church and non profit fund raising.
Each month statement would list by code “Good
Deeds” and other various items.
This would be used for either a donation to a
nonprofit or rewards for using at area merchants or the purchase of the Cultural Diversity Test.
with equipment leasing
and Support Proved:
After tracking, e-mail, fax, and phone assistence
along with website.