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PHILIPPINE FRANCHISE ASSOCIATION

Unit 701 One Magnificent Mile Condominium Building,


San Miguel Avenue, Ortigas Center, Pasig City
Tel.: (632) 687-0365 to 67 Fax: (632) 687-0635
Email: pfa@fibercity.com.ph ,membership@pfa.org.ph
Website: www.philippinefranchiseassociation.com

MEMBERSHIP APPLICATION FORM


Important Announcement: FILL-UP COMPLETELY the information required in this form and submit
to the Secretariat together with ALL the required documents stated on page 3. To facilitate
approval of your membership application, name at least two (2) members of the PFA
Membership Committee or the PFA Board of Directors (list of names is attached for your
reference) whom you know and in turn know you or your company very well so they can
endorse/vouch for your application. For questions and other information, contact the PFA
Secretariat at tel. nos. 687-0365 to 67.
Company Information:
Name of Company: ___________________________________________________________________________
Franchise Name / Brand (if different from company name): _____________________________________
Type of Industry: / / Food / / Retail / /Service / /Service / /Others:__________________
Business Line / Business Type: __________________________Years of Operation:______________________
Description of Business Concept:_______________________________________________________________
Address: ______________________________________________________________________________________
Tel: __________________________ Fax: ____________________________ E-mail: _________________________
Company Website / URL: ______________________________________________________________________
Year Business Started: ______________________________Year Franchised: ________________________
Initial Capitalization: ___________ Present Capitalization: __________ Company Asset Size: _________
Origin/ Type of concept / business:
Local/Home-grown Franchisor
International Master Franchisee
Brands /carried: _______________________

Philippine Licensee
Supplier
Country of Origin: ______________________

Number of Outlets / Branches / Franchises:


Classification

Company Owned
Units
Employees

Franchisees
Units
Employees

Homegrown
Metro Manila
Luzon
Visayas
Mindanao
International (Specify country)

Total
Franchise Offering:
Total Capital Investment: __________________________ Franchise Fee: ____________________________
Inclusions:
Initial Inventory( ) Lease Improvement( ) Equipment( ) Furniture & Fixtures( ) Trainings( )Others ( )
Royalty Fees:________________________ Marketing / Advertising Fee: _____% of gross sales / revenue
Terms / Conditions of Renewal: _____________ year/s for renewal: _______________________________
Projected Return of Investment (ROI) for Franchisee : ___________________________________________
Systemwide Sales Performance : ( 2 years ) _____________
_____________
Expansion Plan of the company for the next 2 years
Where do you intend to expand?
/ / International (Specify Country:_____________________________________________)
/ / Homegrown: / / Luzon
/ /Visayas
/ / Mindanao

About the Board of Directors and Officers: (Write down all the names)
Chairman of the Board: ______________________________________________________________________
President/Chief Executive Officer: ____________________________________________________________
Board of Directors: ______________________
_______________________
____________________
______________________
_______________________
____________________
______________________
_______________________
____________________
______________________
_______________________
____________________
Representation with the PFA: (For purposes of continuity, Official Representative should preferably
be the highest officer of the organization).
Official Representative: _______________________________ Position: _____________________________
Tel.: ___________________________Fax: ___________________ Email: _______________________________
Alternate Representative: _____________________________ Position: _____________________________
Tel.: __________________________ Fax: ___________________ Email:________________________________
Franchise Representative:
Name:_________________________________________________Position: _____________________________
Tel./Fax Nos. ___________________________________________Email: _______________________________
Accomplished by: (Print Name):______________________________________________________________
Signature: _______________________________________ Date Accomplished: ______________________
PFA Sponsor Company/ References:
Give at least two (2) references with contact person, preferably the top officer of the organization
who should know your company very well, complete with telephone and fax numbers, and
address. The reference should either be from the following organizations: (1) your companys
bank/s; (2) known or big franchise company with office here in the Philippines; and (3) any of your
affiliations with known local industry association, clubs, or other business groupings.
1. Company: ________________________________________________________________________________
Address: __________________________________________________________________________________
Contact Person: __________________________________________________________________________
Telephone: ______________________Fax: ___________________ Email:___________________________
Relationship with the organization: _________________________________________________________
2. Company: _______________________________________________________________________________
Address: __________________________________________________________________________________
Contact Person: __________________________________________________________________________
Telephone: _____________________ Fax: ____________________ Email: __________________________
Relationship with the organization: _________________________________________________________
Has your company been sued by another party?
(Other franchisees, your mother franchisor, your franchisee and/or sub-franchisees, suppliers, etc.)
_____ YES
_____ NO
If yes, when? ____________________________________________
Reasons: ____________________________________________________________________________________
_____________________________________________________________________________________
Do you now have other pending case/s in court? DTI?
DOLE?
_____ YES
_____ NO
Nature of the pending case/s: _________________________________________________________________
_________________________________________________________________
Status: ______________________________________________________________________________________

Documents for Submission:


Company or Franchise Profile
Copy of Franchise Offering
Copy of Franchise Agreement
List of All Franchisees with Addresses & Contact Nos.
Photos of your franchise stores/outlets (Indicate at the back of the photos the location)
List of Accredited Suppliers

SEC / DTI Registration


Articles of Incorporation and By- Laws
BIR Registration
IPO
Latest Financial Statements ( 2 years )
Endorsement from 1 existing PFA Member
I hereby certify that all information supplied here together with all the attached documents are
certified true and correct to the best of my knowledge. I understand that any inaccurate
information will be ground for the disapproval, non-acceptance and/or termination of
membership.
I hereby authorize PFA to verify with the relevant agencies, individuals, persons or entities, the
accuracy of the foregoing data and to use in the same in any lawful manner it may deem fit.
______________________________________
Accomplished by: Pls. print name

____________________________________
Position

______________________________________
Signature

____________________________________
Date

(All information and documents required must be submitted to the PFA Secretariat before the
application can be processed)

Do not fill this line. For PFA use only


Date received by PFA Secretariat: __________________________

( ) Original

( ) Fax

Received by: ________________________________________________________________________________


Action Taken by Membership Committee:
Endorsed by:
____________________________________________
Printed Name and Signature

____________________________________
Date

____________________________________________
Printed Name and Signature

____________________________________
Date

Action Taken by PFA Board


( ) Approved
Membership Dues:

( ) Disapproved
Membership Fee:
Processing Fee:
Total:

Succeeding Annual Dues:

Date: ______________________________

P 10,000.00 (one time assessment)


P 500.00
============================
P 10,500.00
P 5,000.00

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