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We're very excited you're ready to talk more about owning your own GoNavis franchise. We look forward to speaking with you soon!

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Thank you for completing this application. Items with an asterisk are required fields.

First Name

Last Name

Email

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Daytime Phone

Evening Phone

Cell Phone

Best Time to Call

Current Occupation

How long employed at present occupation?

Co-Applicant's Name

Co-Applicant's Employer

Children

Have you been convicted of a crime in the past 5 years? (Exclude traffic infractions)

If so, please provide details

Will you continue to work at your current place of employment after the franchise is awarded?

Will the co-applicant continue to work at their current place of employment after the franchise is awarded?

Who will operate the store?

If other, please specify

In what state, county and city would you like to own your own Navis Pack & Ship?

If accepted, how soon would you anticipate opening your own Navis Pack & Ship?

Are you a U.S. citizen?

Are you a veteran of the U.S Armed Forces?

Financial Information

Assets

Cash

Stocks/Bonds

Real Estate Market Value

Automobiles

Other

Liabilities

Mortgage

Auto Loan

Notes Due Others

Credit Card Balance

Other

Net Worth

Net Worth (Total Assets - Total Liabilities)

Other Funding

Do you anticipate obtaining a loan from another source to assist you in funding this franchise opportunity?

Loan Source

Amount

Where will the funds come from to meet the initial cash injection requirement of start-up?

Sources of Income

Have you ever filed for bankruptcy?

Interest

Alimony

Pension

Real Estate

Inheritance

Other

If "Other", please explain:

This is not a franchise offering. A franchise offering can be made by us only in a state if we are first registered, excluded, exempted, or otherwise qualified to offer franchises in that state, and only if we provide you with an appropriate franchise disclosure document. Individualized responses or communications to you that involve either effecting or attempting to effect the sale of a franchise will be made only if we are first in compliance with state registration requirements, or are covered by an applicable state exclusion or exemption.

Notice of Available Disclosure Formats

If you qualify as a franchisee prospect, we will provide the electronic form of our franchise disclosure document to you in PDF format, sent by mail to the address you provide to us. You will need to have Adobe Reader software installed on your computer to open and view the PDF document. We recommend that you download or otherwise preserve a copy of the electronic franchise disclosure document. If you request it, we will furnish you with our franchise disclosure document in paper form. We will provide the paper form of our franchise disclosure document to you in person if you visit our offices, or we will mail or courier the document to you at our cost. If you are a prospect that is covered by Indiana law, we will also provide you with a paper summary of the FDD.

I agree the information contained is true, accurate, and complete to the best of my knowledge.

Yes