Xenula Logo We Protect & Connect. - (480) 251-7828


We Protect & Connect, and so can you.



We are constantly looking for passionate and motivated individuals to help us Protect & Connect on a larger scale. We offer a variety of franchising options to suit your desired lifestyle and investment budget. Please fill out the form below and we will contact you to discuss the next steps towards your future as a Xenula Corporation franchisee.


Your Personal Information    (* denotes required fields)
* First Name:
Middle Initial:
* Last Name:
* Street Address:
Suite/Apt. #:
* City:
* State/Province:
* Zip/Postal Code:
* Country:
Phone Numbers: Include Area Code / Country & City Codes
* Home Telephone:
Fax Number:
Mobile:
* E-mail Address:
* Are you of legal age in your State/Province/Residence Area?
     Yes    No

* Have you ever been convicted of a felony?
     Yes    No

* Have you ever been associated directly or indirectly with terrorist activities?
     Yes    No

* Have you been involved in any litigation proceeding within the last 5 years? (If yes, additional information will be required at the time of sale)
     Yes    No
 
 
Educational Background
* Highest Education Achieved:
  Schools Attended Years Grade/Degree Attained
*
 
 
 
 
Business Information   (Complete All Questions)
* Self Employed   or  Employed By:
* No. of Years
* Nature of Business
Job Title
Describe Position
* Select Your Business Experience Level:
* May we contact you at work?    Yes    No
Work Telephone:
 
 
>References   (Excluding Relatives)
  Name Address Telephone (area code /
country & city codes)
*
 
 
 
 
Additional Partners
(All partners should fill-out a separate Application)
* Will you have partner(s)?    Yes    No
If not, you may skip this section. Otherwise, please complete all relevant sections below:
        %Ownership  
Active Male
First Name MI Last Name Silent   Female
 
Active Male
First Name MI Last Name Silent   Female
 
Active Male
First Name MI Last Name Silent   Female
 
Active Male
First Name MI Last Name Silent   Female
 
 
Territorial Operations
* If qualified, when will you invest in a franchise?
* How involved will you be in operating the franchise?
Preferred Geographic Franchise Area:
1st Preference:
2nd Preference:
* Estimated training date should you choose to invest:
     

Disclaimer: I understand that the granting of a franchise is at the sole discretion of Xenula Corporation, The Franchisor. "I also understand that any information I receive from the Franchisor or from any employee, agent or franchisee of the Franchisor is highly confidential ("Confidential Information"), has been developed with a great deal of effort and expense to the Franchisor, and is being made available to me solely because of this Application. I agree that I shall treat and maintain all Confidential Information as confidential, and I shall not, at any time, without the express written consent of the board of directors of the Franchisor, disclose, publish, or divulge any Confidential Information to any person, firm, corporation or other entity, or use any Confidential Information, directly or indirectly, for my own benefit or the benefit of any person, firm, corporation or other entity, other than for the benefit of the Franchisor.

I authorize the procurement of an investigative consumer report, a general background search and an investigation in accordance with anti-terrorism legislation, such as the USA Patriot Act and Executive Order 13224 enacted by the US Government (collectively referred to as "Investigations"). I understand that these Investigations may reveal information about my background, character, general reputation, mode of living, association with other individuals or entities, creditworthiness, litigation history and job performance. I understand that, upon written request, within a reasonable period of time, I am entitled to additional information concerning the nature and scope of these Investigations. I hereby release a representative of the Franchisor, a credit bureau, security consultant or other investigative service provider selected by the Franchisor, its officers, agents, employees, and/or servants from any liability arising from the preparation of these Investigations.

This authorization for release of information includes but is not limited to matters of opinion relating to my character, ability, reputation, association with others and past performance. I authorize all persons, schools, companies, corporations, credit bureaus, law enforcement agencies or other investigative service providers to release such information without restriction or qualification to a representative of the Franchisor, a credit bureau, security consultant or other investigative service provider selected by the Franchisor and any of its officers, agents, employees and/or servants. I voluntarily waive all recourse and release them from liability for complying with this authorization. This authorization/release shall apply to this as well as any future request for these Investigations by the above named individuals or entities. I authorize that a photocopy or facsimile of this release be considered as valid as the original.

I agree that I will settle any and all previously unasserted claims, disputes or controversies arising out of or relating to my application or candidacy for the grant of a Xenula Corporation franchise from Franchisor, exclusively by final and binding arbitration at a hearing to be administered by a neutral arbitrator in accordance with the Commercial Rules of the American Arbitration Association and to be held at Mesa, Arizona, USA, unless my local laws require otherwise. Such claims include, but are not limited to, claims under federal, state, provincial or common law, such as employment law, civil rights law, contract law and tort law.

Everything that I have stated in this application is true and I understand that the information provided by me will be relied upon by the Franchisor. In accordance with anti-terrorist legislation, I understand that I will not be approved to purchase a franchise if I have ever been a suspected terrorist or associated directly or indirectly with terrorist activities. I read, understand, and agree to all of the above.

 
 
Signatures
* I have read the above disclaimer    Yes    No

Type name to indicate consent. Signature required at time of sale.
* Applicant's Typed Name:
* Date: (mm/dd/yyyy)



Click here to get protected now.