| First Name: | |
| Last Name: | |
| Address 1: | |
| Address 2: | |
| City: | |
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| Zip: |
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| Home Phone: |
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| Work Phone: |
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| Mobile Phone: |
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| Email: |
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| Comments: |
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| Areas of Interest |
- see development map for availability |
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| Primary: |
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| Alternate 1: |
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| Alternate 2: |
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| Alternate 3: |
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| Restaurants: |
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Number of restaurants your group is interested in opening.
(Note: Del Taco only signs development agreements from 2-10 restaurants.)
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| Liquid Assets: |
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| Net Worth: |
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| Operating Experience: |
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| Brand Experience: |
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Please list the brands your operations experience comes from.
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| Have Property: | |
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Our group currently owns property that we would like to develop.
(Note: this is not a requirement to become a franchisee)
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