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    Confidential Questionnaire





















    In submitting the foregoing information, the undersigned guarantees information as complete and true personal and financial condition as of the date shown. The undersigned understands that Salons by JC Franchise is relying upon all the above information as a material factor in considering application for a franchise agreement. This is not a contract; supplying or completing this form incurs no obligation on either party. The undersigned understands that prior to awarding a franchise agreement, Salons by JC Franchise will conduct a credit and criminal background check. At the appropriate time prior to awarding a franchise agreement, the undersigned will be required to provide the necessary information and approval to conduct such investigations. Offering is made by prospectus only.

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