Thank you for your interest in Applebee's International Inc. Please take time to accurately fill out this preliminary form. We look forward to reviewing your application, and will contact you shortly thereafter.

All information provided is used solely for pre-qualification.

Name 

Address 

City 

Country 

Country code 

Years at this address 

Business phone 

Home phone 

Email address 

I am a citizen of 

I have permanent residence rights in 

 Yes, I have worked in the restaurant industry before.

 Yes, I have owned a restaurant before.

If yes to either of the two previous questions, please describe your experience. 

If you are not in the restaurant industry, please describe your business experience. 

If a company will own the franchise, please provide a brief description of the company and its business (include a web address if available). 

If you will have a partner(s) please provide information on the partners' business experience. 

In what country/region are you interested? 

 I submit the above information as true as of the date submitted (07/05/2008). Applebee's Services, Inc. is authorized to verify the accuracy of the information submitted. I understand that Applebee's Services, Inc. is relying upon the above preliminary information as a factor in considering my potential to become one of its franchisees. If we progress towards a franchise, Applebee's will request more detailed information. The submission of this preliminary application does not obligate either you or Applebee's in any manner, nor does it imply that there is any legal or commercial relationship between the parties. I hereby consent to Applebee's using the information that I provide for the purpose of evaluating me as a potential franchisee.

All information provided is used solely for pre-qualification.