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Please complete this 60 second information form and a representative from The Glove Lady's selection staff will contact you to answer any additional questions. This is not a Contract.

All information obtained will remain private.
Please, Serious Inquiries Only
U.S. Residents Only

Personal information *Required Privacy Statement
*First Name:
 *Last Name:
 *Occupation:
Spouse First Name:
Spouse Last Name:
 Occupation:
*Address:
 *City:
 *State:
 *Zip:
County:
*Work Phone:
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 Residential Phone:
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*Email:
 Fax:
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For Primary Person:
Previously owned a business?
 Yes     No
If Yes, what type of businss?:
Your role in previous business:
Total years of education:
Degrees and/or credentials earned:
Other Businessess you are considering:
Why does The Glove Lady appeal to you?

Disclaimer
This Internet Web site is not an offer of a franchise. An offer of a franchise
can only be made by a prospectus which has been registered and declared effective
in your state, and the Discloser Documents have been delivered to you prior to sale.
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