Home Find a career at Optima Spa and Wellness Centers
Services & Treatments :: Our Philosophy :: About Us :: Business Opportunity :: Locations :: Contact

Optima Spa Online Application Form
Please answer each item in the form correctly. Make sure that all required fields and check boxes are answered. Place NA (Not Applicable) for fields that are not relevant to you. Online form will not submit if required fields and check boxes are left blank. Items with the mark are required fields.
Name
Address
City
State
Zip
Email
Home Phone
Work Phone
  Cell Phone
  Fax
Best time to call?
May we call you at work? Yes No
  Birthdate
  Martial Status
  Spouse Name (put NA if single or divorced)
  # of Children
  Your Education
  Your Employer
  Address
  Type of Business
  Your Title
  How Long?
  Spouse Employer
  Spouse Title
  How Long?
  Who will operate the store?
  How long have you planned to start a business/franchise?
  Will any family members keep their current job? Yes No
  Have you ever owned a business before? Yes No
  If yes please explain:  
  How did you hear about us?
  Have you looked into other opportunities? Yes No
  If yes please explain:  
  Do you plan to have investors? Yes No
  Do you plan to have a partner? Yes No
  What is the minimum income you need to maintain your
family during your first few years of business?

Year 1:
Year 2:
Year 3:

  How soon would you like to start?
  What are your preferred locations?
  City       State:
  City       State:
Liquid Assets
  Securities
Real Estate Value
  Loans Receivable
  Cash Value of Life Insurance
  Autos
  Personal Property
Other Assets
Total Assets
  Notes and Loans Payable
  Auto Loans
  Accounts and Bills
  Unpaid Income Tax
Real Estate/Mortgages
Other Liabilities
Total Liabilities
   
Total Net Worth
  What is the exact amount of capital you have?
  Will you finance your initial investment? Yes No
  If yes, please explain:  
 
How much:
Home Equity:
 
SBA:
Other:
  Any assets pledged?
  If yes, please explain:
  Have you ever filed for bankruptcy? Yes No
  Have you ever compromised a debt? Yes No
  Have you ever been convicted of a felony? Yes No
  If the initial funds will not come from the assets above where will they come from?  
  Do you have sufficient savings to live without income for six months? Yes No
  Your annual salary
  Spouses' annual salary
  Dividends and Interest
  Real Estate Income
  Alimony/Child Support
  Income from other family members
  Other Income
  Total Income
  I authorize Optima Spa to submit my confidential information to a bank or lending institution for the consideration of receiving financing for my business.

Services & Treatments :: Optima Spas' Philosophy :: About Optima Spa :: Business Opportunity :: Locations :: Contact

Optima Spa & Wellness Centers: Massage Chiropractic Skin Care Nutrition Micro Current Therapy (MCT) Physical Therapy & Training Day Spa
Copyright 2004, Optima Spa and Wellness Centers


Health
Better Provider | Breast enlargement reviews | Breast pump reviews | buy cheap phentermine diet pills online | Buy cialis online | Buy Day After Pill at For RX | Buy Day After Pill at Online Generics | Buy Morning After Pill at For RX | Buy Morning After Pill at Online Generics | buy phentermine | buy phentermine weight loss diet pills | Buy Plan B at For RX | Buy Plan B at Online Generics | Buy Viagra Online | Current Health Articles | Day After Pill | Day After Pill | Diet Pills | Doctors Exchange | Eldercare Finder | Employee Benefits Center | Employee Health Center | Fat Loss Measuring Strips | For RX | Healthistics | Help Addicts | Hospital Tools | Locate Chiropractor | Long Term Care Support | Long Term Care Workshop | magnets for health | Mobility Assistance | Morning After Pill | My Provider Office | Online Discount Pharmacy | Online Generics | Optima Spa | Order Phentermine | Penis Enlargement Reviews | Penis enlargement reviews | Pharmaceutical Non-compliance Solutions | phentermine | Plan B PIll | Planet Wellness | Provider Access | Provider Office | Skin Care Clinic Network | viagra |