C&N Publishing, Inc.

Profile

Thank you for you taking the time to complete this profile. Completion of this profile does not obligate you or us. It is used in assessing if you have the basic qualifications to become a C&N franchisee. On review of the your information we will send you more information about the opportunity of owning a community newspaper. All information is held in strict confidence and will not be shared with anyone.

If you would prefer to download this form in PDF format please click here. After completing the downloaded form please fax or mail it back.

* Required Fields

Personal

Name:*		
Age:*		
Spouse's Name:	
Age: 		           
Address:*		  
City:*		
State:* 		         Zip:*  
Telephone:*	--
Cell Phone:	--
Best Time To Call:	   
Email Address:*

Employment

Your Employer:*		
Position:*		
Employment Dates:*	 To   		
Income:*		
Responsibilities:*


Spouse's Employer:		
Position:		
Employment Datest:	 To   		
Income: 		
Responsibilities:

General

What is your time frame to begin?*		
Cash available for investment in your business?*	
Are you involved in your community?*		
Are you willing to get involved in your community?*	
Do you enjoy sales?*				
Do you have sales experience?*			

What zip codes or territories are you interested in?*



Please provide any question or comments:

This information is not intended as an offer to sell, or the solicitation of an offer to buy, a franchise. It is for information purposes only. Currently the following states and countries regulate the offer and sale of franchises:

In the U.S.: California, Hawaii, Illinois, Indiana, Maryland, Michigan, Minnesota, New York, North Dakota, Oregon, Rhode Island, South Dakota, Virginia, Washington, and Wisconsin.

International: Australia, Brazil, Canada (Alberta and Ontario only), China, France, Indonesia, Italy, Japan, Kazakhstan, Korea, Malaysia, Mexico, Romania, Russia, Spain, and Taiwan.

If you are a resident of one of these states or countries or will base the franchise in them, we will not offer you a franchise unless and until we have complied with applicable pre-sale registration and disclosure requirement in your jurisdiction.

	© Copyright 2007 - 2008 C&N Publishing, Inc.