Franchise Application Form First Name (required) Last Name (required) Phone (required) Email (required) Address (required) City (required) State (required) Zipcode (required) Have you ever owned a business or franchise? (required) YesNo If yes, please provide details about the business or franchise. Have you ever had a business fail? (required) NoYes If yes, please provide details about the business failure. Total Assets (in USD) Total Debt (in USD) List between 1 and 5 locations or areas you would like to open a franchise in. (required) Terms and Conditions I agree that I have completed this form to the best of my knowledge, and the information provided is correct. I consent to the team at Lumière Candle Studio to contact me back with my information that I provided.