Wild Birds Unlimited Confidential Qualification Form

Instructions: Thank you for considering the Wild Birds Unlimited franchise opportunity. Please complete this confidential Qualification Form, answering all questions completely.
The intended operator of the store should complete this form.

The intended operator of the store should complete this form.

• First Name* :

• Last Name* :

• Email* :

• Street Address* :

• City* :

• Country* :—Please choose an option—CanadaUSA

• State / Province* :

• Zip / Postal Code* :

• Primary Phone Number* :

• Alternate Phone Number* :

• Preferred Method of Contact ? :PhoneEmailText

• If text messaging is your preferred method of contact please provide your phone number :

• Are you a veteran of the Armed Forces? :YesNo

Spouse or Partner’s Personal Information (if not applicable please enter N/A)

• First Name* :

• Last Name* :

Business Experience

• Have you ever owned your own business? :YesNo

• If yes please describe the type of business dates operated and if applicable reasons for discontinuation :

• What retail experience and skills do you have?* :

Wild Birds Unlimited Experience

• How did you hear about us?* :—Please choose an option—At a WBU Storewbu.comFacebookLinkedInInternet SearchGoogle AdFranchise Business ReviewFranchise GatorInternational Franchise AssociationBizQuestEntrepreneur Magazine1851Other

• Have you ever been a customer of a Wild Birds Unlimited Store? :YesNo

• If yes please tell us the store and a little bit about your experience* :

Operations

• Will owning this franchise be your ? :Sole source of incomeSupplementary income

• How much income do you need or want to make from this business?* :

• Location (first choice)* :

• Location (second choice)* :

• Would you be interested in purchasing an existing Wild Birds Unlimited franchise? :YesNo

• Are you capable of moving 20 lb. bags of bird seed and heavy bird baths? :YesNo

• Are you willing to give nature talks to clubs and organizations in your community? :YesNo

• Have you or your spouse/partner ever been convicted of a crime? :YesNo

• Have you ever filed for bankruptcy? :YesNo

• What is your current Net Worth?* :

• Do you have 40000 - 50000 liquid capital? :YesNo

• How much of your own money do you plan to use as start up capital?* :

• How soon do you want to have your store open for business?* :

• In the following space please indicate how you plan to cover your personal expenses for at least the first year of business* :

• Given your current employment situation how will you accomplish opening the store?* :

• Your Initials* :

• Date* :

• Spouse's/Partner's Initials :

• Spouse Date :