FRANCHISING

FRANCHISE APPLICATION

This application does not obligate either party in any manner.

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I submit the following information as my true and complete personal and financial condition as of the date shown below. I understand that The Loop is relying upon all the above information as a material factor in considering my application to become a The Loop franchisee, and I therefore agree to promptly notify The Loop of any material change in any of the above information or any subsequent information provided to The Loop. I agree to comply with and/or to assist The Loop to the fullest extent possible in The Loop’s efforts to comply with the Executive Order.