The undersigned agree; 1) that the information will be used only for the purpose of evaluating the possible purchase of a Candy Bouquet Franchise; 2) that the information and bouquet making techniques will not be copied or used for any other purpose, and 3) that they will not replicate or reproduce any similar type store or home based business of candy arrangements, if I do not choose to buy a Candy Bouquet franchise 4) the information will not be disclosed to any third party, except for legal, accounting and business advice 5) that CBI has complied with all legal issues and laws pertaining to this offering 6) to allow Candy Bouquet International, Inc. to obtain credit information on me and my spouse 7) that any deposits I make in the future on exclusive territory are non-refundable.

Authorization and Release

I authorize CBI to undertake, or cause to be undertaken, an investigation(s) to cover, without limitation, a current credit report from a major credit reporting service. If relevant issues arise from this credit report, CBI may utilize additional sources to obtain relevant background information. Additional information sources may include one or more of the following items:

  1. Information concerning my educational background from any institution or other source;
  2. Information concerning my employment history (Including United State military service, if applicable), from any prior employer or other source;
  3. Information concerning me, if any, which may be obtained from public records; a consumer investigative report. In this regard, I acknowledge the following disclosure was made to me by CBI in accordance with the Fair Credit Reporting Act, Public Law 91-508.

I authorize all persons, institutions, prior employers, organizations and companies to furnish any and all pertinent information known to them about me, and all such parties can rely on the photocopy of this application as if it were an original. I further authorize Candy Bouquet International, Inc. in making its business decision concerning me.

I hereby release from liability all persons, institutions, prior employers, organizations, references, and companies, who furnish pertinent information concerning me. I also release from liability Candy Bouquet International, Inc. its employees or agents, in obtaining such information deemed appropriate to evaluate my application and make a business decision based on that information