Franchise Application

This franchise application will help you in preparing and presenting your personal information for confidential use by of America, Inc. to determine your qualifications as a franchisee.

Please complete it with as much detail as possible. The completion of this form places no continuing obligation on either party. Please have each person signing fill out a separate application.

Questions? Call 1-866-366-8683 for assistance

  • (First, Middle, Last)
  • (Total Assets plus Income minus your total liabilities)
  • By typing your name above, you are acknowledging the following:
  • I, ____________________ hereby authorize of America, Inc., ("VALUEPEST") upon the execution of this Request for Consideration and/or consent form, to investigate the information contained in my application, and other background information, for the sole purpose of obtaining information relevant to my qualifications as independent franchisee thereof. I understand that this means I may be subject of a 'consumer report' from an outside agency, which report may contain information about my creditworthiness, credit standing, credit capacity, character, police and criminal records, general reputation, personal characteristics and mode of living, whichever are applicable. By signing below, I authorize VALUEPEST to obtain or cause to be obtained, a consumer report upon receipt of this form or at any time during which I am a franchisee. I understand that inquires on this application, which ask for my address and date of birth, are for identification purposes only. I release VALUEPEST and / or its agents and any person or entity that provides information pursuant to this form any and all liabilities arising from any claims, lawsuits, or other actions in regard to the information obtained from any and all of the above referenced sources. I further agree that the giving of any false, misleading or incomplete information will be grounds for denial or termination. I agree to indemnify, defend and hold harmless VALUEPEST, its subsidiaries, affiliates, employees, agents and customers from and against any demands , claims, liability arising from the gathering and use of any information obtained from any and all of the above referenced sources. The above information is my true and complete legal name and all information is correct to the best of my knowledge.