You are here: Home / Franchise Application Franchise Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name*First Name *Last Name *Address*Street Address *City *State / Province / Region *State / Province / Region*AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington, D.CWest VirginiaWisconsinWyomingInternationalZIP *Country *Country*United StatesPreferred Phone *Phone Type *HomeMobileWorkAlternate PhonePhone TypeHomeMobileWorkEmail *EmailConfirm EmailDate of Birth *Highest Level of Education Completed *SelectCollegePost GraduateOtherBusiness Name *Business AddressStreet AddressAddress Line 2CityState / Province / RegionState / Province / RegionAlabamaAlaskaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington, D.CWest VirginiaWisconsinWyomingInternationalZIPCountryCountryUnited StatesPosition *Years Employed *Reason for Leaving *Name of Business 2Address of Business 2Street AddressAddress Line 2CityState / Province / RegionState / Province / RegionAlabamaAlaskaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington, D.CWest VirginiaWisconsinWyomingInternationalZIPCountryCountryUnited StatesPosition *Years Employed *Reason for Leaving *Marital Status *SelectMarriedSingleDivorcedSpouse's Name *Spouse's Date of Birth *Spouse's Employer *Spouse's Position *Names and Ages of Children *Checking & Savings *Marketable Securities (Stocks, Bonds, etc.) *Non-Marketable Securities (401k, etc.) *Real Estate Owned (Residential) *Real Estate Owned (Commercial and Other) *Other Assets *Total Assets *Notes Payable *Real Estate Mortgages Payable *Total Liabilities *Net Worth *List Other Assets Here: (Cars, etc.) *List Marketable Securities *List Non-Marketable Securities *Number of Salons *Select*12345-10Open Date of First SalonPreferred Franchise Location *Area Of Expertise *Would This Business Be Your Sole Source Of Income? *SelectYesNoAnnual Income at Present Occupation *What is your source of financing? *Other CommentsWhere did you hear about us? *Select*WebsiteStoreInternetFriendOtherBroker selectionDisclamier* I certify that all of the information stated herein is a true and correct representation of my personal and financial condition. I give permission to Pigtails & Crewcuts to contact credit reporting agencies to assist in verifying data. I understand that my submission of this Request for Consideration does not obligate me to become a franchisee of Pigtails & Crewcuts, nor does my submission of this Request for Consideration obligate Pigtails & Crewcuts to award a franchise to me.Checkboxes *I agree to the above terms.Consent* By submitting this form, you agree that Pigtails & Crewcuts Franchise may contact you using the phone number(s) and/or email address(es) you provided above, including but not limited to marketing purposes related to your inquiry and to provide you with additional information regarding your request. We may reach out in person or using automated technology, such as automated emails and text messaging. By submitting this form, you also consent to our Privacy Policy.Checkboxes *I agree to the above terms.Submit
