* - required fields
Your Email: *
Your Phone Number: *
Have you ever owned a retail business before: Yes No
Why The LOVE SHACK:
Do you have a personal PNL: Yes No
Do you have a net worth of at least a half million dollars: Yes No
Do you have access to no less then $200,000 in liquid assets for rents, build out, fees, merchandise etc: Yes No
How would you rate your credit on a scale of 1 to 10 with 10 being perfect: 1 2 3 4 5 6 7 8 9 10 Have you ever been arrested or convicted of a felony: Yes No
Additional Comments: