Franchise Application Form

Have you or any member of your family been affiliated with or employed by any UDC franchisee/owner? If Yes, please provide details :

Do you own a franchise, or have owned in the past? If Yes, please attach details ::

Do you intend to manage your UDC franchise yourself?:

Has any action been commenced by or against you in the Bankruptcy Court during the past 15 years? If yes, provide/attach details :

Are you now or have you ever been a party to any civil, criminal or administrative action or any arbitration during the past 15 years? If yes, provide/attach details :

Have you signed as a co-signor on a loan application for someone else? If yes, provide/attach details :

Location Preferences

Would you be willing to relocate?:

Are you now or have you ever been a party to any civil, criminal or administrative action or any arbitration during the past 15 years? If yes, provide/attach details :

How do you plan to finance your purchase of this Franchise? Please check one :

Major Funding in Cash
Financed through lender of my choosing

Are you now or have you ever been a party to any civil, criminal or administrative action or any arbitration during the past 15 years? If yes, provide/attach details :

Source of Financing- please provide/attach details:

Assets

TOTAL ASSETS:

Liabilities

All of the statements and information contained throughout this application are completely true and accurate. I/We understand that Ultimate Drivers of Canada is relying on theinformation contained in this application in deciding whether or not to enter into a Franchise Agreement Area Development Agreement with me. Ultimate Drivers of Canada may retain this application and may verify any of the information contained in it or in any other document supplied to the company in connection with this application. I/We understand that I/We not being offered a franchise and that a franchise offering can only be made by a Franchise Disclosure Document prepared and filed in accordance with applicable laws. I/We also understand that ULTIMATE DRIVERS will be doing a credit check directly OR through any agency they are using for this purpose.