Franchisee Initial Inquiry Form

If youæ± e interested in owning a Costa Vida franchise, please complete the form below. After answering all of the questions, click the submit button below. Questions marked with an asterisk require a response. We follow up on these forms regularly and look forward to sending you some additional information about our concept upon receipt.
Thanks for your interest!

* Required

Full Name (First and Last) *

Current Company Name

Position or Title

E-mail Address *

Preferred Phone Number *

Cell Phone Number

Fax Number

Mailing Address 1 *

Mailing Address 2

City *

State *

Zip Code *

What is generally the best way to reach you? *

Where did you learn about Costa Vida? *

Provide Name of Referral Source (if available)

Do you plan to be a full-time owner/operator? *

Yes No

Do you have past experience working in or owning a restaurant? *

Yes No

What is your investor group's combined net worth? *

What is your investor group's approximate combined liquid funds available? *

Please list your top 3 location preferences (include city and state) if known *

What is your timeframe for making a decision? *

Do you currently have a site selected and/or lease under negotiation?

Yes No

Please provide any other comments that we should know

* Required