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License Application

This application will help us decide if you are the right fit to become a Bits, Bytes & Bots Licensee.

We are seeking licensees who not only qualify financially, but also share our vision.

Basic Information

  
First Name
Last Name
Address
City, State
Zip Code
Country
Home Phone
Office Phone
Fax
Email Address
Date of Birth mm/dd/yyyy
Personal Information
 
Education level
Married?
 Yes No
Children?
 Yes No
Are you a U.S. Citizen
Yes No
Have you been convicted of a felony?
Yes No
Have you filed for bankruptcy?
Yes No
Do you own or rent your home?
Own Rent
Business Experience
 
Present Employer
Position
From (mm/dd/yyyy)
Current Income
Previous Employer 1
Position
Previous Employer 2
Position
Previous Employer 3
Position
Spouse's Employer
Position
Income
Have you owned a business before?
Yes No
If so, please describe
References
  
Name 1
Phone
Occupation
Address
Name 2
Phone
Occupation
Address
Name 3
Phone
Occupation
Address
General Information
 
Why do you want to own a Bits, Bytes & Bots license?
Would you teach?
Yes No
Explain your teaching background
Explain your computer background
Financials
  
How much liquid capital are you able to invest?
Total Assets
Total Liabilities
Total Net Worth (Assets - Liabilities)
How will you finance your purchase?
Do you have financing arranged?
Yes No
Locations
  
First Choice
Second Choice

This is an application and not a contract and thereby does NOT incur obligations on either party. The filing of this application does not obligate you to become a licensee of Bits, Bytes & Bots Computer Adventures, Inc. nor does it obligate Bits, Bytes & Bots Computer Adventures, Inc. to offer you a license.

By pressing SUBMIT, I authorize Bits, Bytes & Bots Computer Adventures, Inc. to make inquiries as necessary to determine the accuracy of statements made and determine my creditworthiness. I certify the above and the statements contained in the attachments are true as of the stated date.

     
   


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