Franchisee Reimage Intake Form

Franchisee Information
Franchisee Name
Organization Name
Franchisee Phone #
Franchisee Email
Franchisee Mailing Address
City
State
Zip
 
Restaurant Information
Restaurant/Store #
Date Opened
Restaurant Address
City
State
Zip
Hours of Operation
Restaurant Building Type
Special Requests For Scope of Work
Checkers & Rally’s Restaurants . 4300 W. Cypress Street, Ste. 600, Tampa, FL 33607 . checkers.com | rallys.com