STATE OF HAWAII
Filing Fee - $250
Amendment Fee - $250
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Renewal Fee - $250
Business Registration Division
Dishonored Check Fee - $25
335 Merchant Street, Room 203, Honolulu, Hawaii 96813
(808) 586-2722
APPLICATION FOR FILING OF FRANCHISE OFFERING CIRCULAR:
Initial Registration
Renewal Registration
Amendment
1.
Name of Franchisor (or subfranchisor):
Name under which the Franchisor is doing or intends to do business:
Name of any parent or affiliated company that will engage in business transactions with Franchisees:
2.
Franchisor’s principal business address:
Name and address of Franchisor’s agent in the State of Hawaii authorized to receive process:
3.
State the business form of the Franchisor, whether corporate, partnership, or otherwise. (If corporate, date of organization
and State of incorporation):
4.
Name, address and telephone number of person to whom communications regarding this application should be directed:
5.
Exhibits required by the application are attached hereto and made a part hereof.
(Name of Applicant)
By
(Signature)
Title
F-1
B26 (Fee)
(OVER)
Rev. 07/07
B27 (Amendment)
B65 (Renewal)