Complete your official franchise request for consideration

First Name:
Middle Name:
Last Name:
Email Address:
Street Address:
City:
State / Province / Region:
ZIP / Postal:
Country:
Home Phone:
Mobile Phone:
Preferred Method of Communication:
Marital Status:
  • - select a option -
  • Single
  • Married / Legal Partner
  • Divorced
  • Seperated
If married, will your partner or spouse be active in the business?
  • - select a option -
  • Yes
  • No
Have you considered other franchises? 
  • - select a option -
  • Yes
  • No
If yes please list Franchise name:
Do you intend to devote full time & attention?
  • - select a option -
  • Yes
  • No
Additional information regarding your plans:

Assets & Liabilities

Do you meet the $100,000 capital requirement?
  • - select a option -
  • Yes
  • No
How do you intend to fund your franchise?
Do you plan on applying for a loan?
  • - select a option -
  • Yes
  • No
If yes, what type of loan? i.e. Personal, SBA, Refinance
Do you plan on applying for a loan?
  • - select a option -
  • Yes
  • No
Net Worth:
Liquid Assets for Investment:

Specific Data

When would you be ready to invest in your franchise if you were approved?*
  • - select a option -
  • Immediately
  • 1-3 Months
  • 3-6 Months 
  • 6-12 Months  
  • Just researching right now 
Current Occupation:
Employer:
Street Address:
City:
State / Province / Region:
ZIP / Postal:
Country:
Work Phone:

Education

Degree’s Obtained (Check all that apply)
Last School Attended:
City / State:
Major / Concentration:
Other credentials/licenses/professional affiliates, etc., which are relevant to the franchise for which you are applying:

U.S Military

Are you a current or former member of the U.S. military?
  • - select a option -
  • Yes
  • No
Active Duty Date:
Branch of Service:
Type of Duty:

Experience / Other

Describe your management, retail, hospitality and/or business experience.* (if attaching a resume, say “see attached.”)
What other skills/experience do you have that will help you be successful in this business?
Why do you think this franchise will enable you to reach your personal goals?
Would this business be your sole income source?
  • - select a option -
  • Yes
  • No
Are you now, or have you ever been party to any lawsuit - either as defendant or plaintiff?
  • - select a option -
  • Yes
  • No
Have you ever been convicted of a felony?
  • - select a option -
  • Yes
  • No
If so, explain:
Have you, your current or previous company or your spouse ever been declared or filed for bankruptcy?
  • - select a option -
  • Yes
  • No
Please explain:
Do you have any physical or other conditions or limitations that may impact your ability to work 50 or more hours per week in your franchise location? *
  • - select a option -
  • Yes
  • No
Upload resume

Area / Location Preferences

Desired Franchise Territory 1:
Desired Franchise Territory 2:
Desired Franchise Territory 3:

How did you hear of us?

We will never share your information with any third party without your explicit permission.

The Dirty Buffalo welcomes applications from all sectors of the community regardless of gender, marital status, disability, ethnicity, race, color, nationality, sexual orientation, gender identity, religion or belief.

Submission of this Request for Consideration does not constitute acceptance by TDB Franchising LLC of applicant as franchisee nor does it grant any franchise rights, which may only be granted by executing a written franchise agreement. Submitting this form does not obligate you to purchase a franchise.

I understand that any information I may receive from the Franchisor (TDB Franchising LLC.) or any Franchisee (The Dirty Buffalo® owner(s) ) is proprietary and confidential.

By submitting this Request for Information, I certify the information contained herein is true and correct.

Copyright © 2018 The Dirty Buffalo. All rights reserved. Privacy Policy
The Dirty Buffalo® franchises are independent licensees of TDB Franchising LLC.

Legal Disclaimer: "The franchising information contained in this website is not intended as an offer to sell a franchise or the solicitation of an offer to buy a franchise. The following states and provinces regulate the offer and sale of franchises and/or business opportunities: Alabama, California, Connecticut, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Michigan, Minnesota, Nebraska, New Hampshire, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Texas, Utah, Virginia, Washington and Wisconsin in the United States, and the provinces of Alberta and Ontario in Canada. If you are a resident of one of these states or provinces, we will not offer or sell you a franchise unless and until we have complied with the applicable presale registration and disclosure requirements in your state or province."