If becoming a Pet Supplies "Plus" franchisee sounds right for you, please complete the following
Confidential Franchise Application.

Mark Lauten
Vice President Franchise Development and Real Estate
Pet Supplies "Plus"
22710 Haggerty
Farmington Hills, MI 48335
Toll Free:  866-477-7747 ext. 108
Fax: 248-374-7900
Email:  mlauten@petsuppliesplus.com

Click here to download a printable application

Confidential Franchise Application

Personal Information
First Name
 Last Name  
Address     
City         
State        
  		Zip  
Email Address
Home Phone       Work Phone 
Cell Phone 
What is the best way to contact you?                   

When is the best time to reach you?   
Marital Status:   Single                      Married
Spouse's Name
No. Dependents
U.S. Citizenship     Yes No   If No, what country?

Employment/Business Experience (Please list your past 3 positions)
From To Company Position Annual Income
       

Education
Education  HS AA BA BS Masters  
Degrees/Field of Study:

 

Military
Military Service Yes No  
Branch

Discharge Date

Type of Discharge


General Information
How did you learn about PSP?
 Visited Store   I was contacted by PSP   Website   Other

Have you or any member of your family been affiliated with or employed by any PSP franchisee/owner?
Yes No

If "yes" provide details:
Do you own a franchise, or have you owned one in the past?     Yes No

If "yes" give name of franchise:
 
Do you now, or have you ever participated in running a retail business?     Yes  No

If "yes", provide details:
 
Do you intend to manage your PSP franchise yourself?     Yes No

If you answered "no" who will manage the store?
 

Business Plans
Please select the State with which you have an interest:    
If other, please state: State  
Do you have a predetermined city in which you would like to establish a new store(s)?     Yes No
If Yes, please state: City  
Would your friends/family/partners be involved in the business?     Yes No
If Yes, please list name and relation..
        Name Association Email
 1.  
 2.  
Do you personally have access to at least $250,000?                  
 

If you answered YES to the question above you may skip this section
Individuals looking to open a PSP store will be required to make an equity contribution of approximately
$250,000 for each store. To read more about the investment requirements. Click Here.
Do you have access to additional capital through family, friends, or partners?     Yes No  

Equity Partner Information
        Name Association Email
 1.  
 2.  
Do you have an interest in multi-store ownership?     Yes No
How soon would you like to begin the process? 
 

Financial Information
To invest in a PSP Store the minimum liquid capital requirement is approximately $250,000 per store. Please provide your current financial information below.

 

PERSONAL BALANCE SHEET

  
Assets Amount Liabilities Amount
Cash on Hand & In Banks Notes Payable
Accounts Receivable Secured
Pension & Profit Sharing Unsecured
Notes Receivable Accounts & Bills Due
Mortgage & Deeds of Trust Income Taxes Payable
Securities Owned Other Taxes Payable
Cash Surrender Value of Life Insurance Loans on Life Insurance
Real Estate Mortgages or Loans on Real Estate
Automobiles Installment Contracts Payable
Personal Property Other Liabilities
Other Assets    
       
Total Assets* Total Liabilities*
    (Assets - Liabilities) Net Worth

If you answer "yes" to any of the following statements, please furnish us with a detailed explanation. Any explanation for the first two questions should include the name of the court or other tribunal where the case was heard and the case number assigned.

Has any action been commenced by or against you in the Bankruptcy Court during the past fifteen (15) years? 
Yes No

If "yes" provide details:

 
Are you now or have you ever been a party to any civil, criminal or administrative action or any arbitration during the past fifteen (15) years?     Yes No

If "yes" provide details:

 
Are any of the assets reflected in the Personal Balance Sheet section of this application pledged security for any debt? Yes No

If "yes" provide details:


Representations and Warranty
All of the statements and information contained throughout this Personal Financial Statement are completely true and accurate.  I understand that Pet Supplies "Plus" is relying on the statements and information contained in this statement in deciding whether or not to enter into a Franchise Agreement or Area Development Agreement with me.  Pet Supplies "Plus" may retain this statement and may verify any of the information contained in it or in any other document supplied to the company in connection with this statement.  I understand that I am 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.
 
Name:  Date