Franchise Request for Consideration

This application is to be completed by all parties pursuing a relationship with SHIELD Security Systems. It is understood that the purpose of this information is to evaluate your qualifications to be awarded a SHIELD Security Systems Franchise. The information contained herein will be held in the strictest confidence. Returning this form does not obligate “SHIELD Security Systems” or the applicant in any way or manner. I certify that the above information is a true and correct representation of my personal and financial condition and authorize SHIELD Security Systems to verify, usual and customary commercial channels, including financial institutions and credit agencies, information provided by me.