This is a Pre-Application form.

Name *
Address *
Phone *
Date of Birth *
Date of Birth
If Married, you must include your spouse's information and they must agree to the terms of this form.
Spouse's Name
Spouse's Name
Spouse's Date of Birth
Spouse's Date of Birth
I/we understand that signing this document only makes a request to Cornwell for a Franchise Disclosure Document and that Cornwell may choose whether or not to send me/us a Franchise Disclosure Document, based on this pre- application review of my/our credit history. This document does not constitute an application to become a Cornwell Dealer or an agreement with Cornwell Quality Tools Company to be a Franchised Dealer. By signing below I/we give authorization to Cornwell to obtain a credit report. I/we further understand that if I/we meet the pre-application credit criteria established by Cornwell, that I/we will receive a Franchise Disclosure Document. After reviewing the Franchise Disclosure Document and discussions with a Cornwell District Manager, I/we may decide to make an application to become a Franchised Dealer. I/we must still then meet all of the criteria established by Cornwell before final approval to become a Franchised Cornwell Quality Tools Dealer. I/we hereby affirm that I/we understand the paragraphs above, and that the information provided is true and complete to the best of my/our knowledge. I/we have not had any discussion with a Cornwell District Manager about becoming a Cornwell Franchised Dealer.  *