Name: ___________________________________________

Date: ___________________________________

Address: __________________________________________

City: _________________________________________________

State: ________________________________________________

Zip Code: _____________________________________________

E-Mail: _____________________________________________

Phone: _____________________________________________

I understand that upon receipt and favorable review of my profile, and scheduling availability, I will be invited to visit with principal executives of Maid to Perfection® in Baltimore, Maryland.  The purpose of this visit is to verify information received by Maid to Perfection® marketing representatives and provide full business disclosure.  It is further understood that I will receive complete indoctrination on a Maid to Perfection® business with methods and procedures to implement and sustain a successful Maid to Perfection® franchise.

It is understood that Maid to Perfection® reserves the right to reject any application and/or applicant if the candidate does not meet the qualification requirements.  I agree not to disclose information released to me during this visit and to protect the confidentiality with respect to the Maid to Perfection® franchise system.

Requested Visit Dates:	1st Choice _________________ Time ________________
	2nd Choice _________________ Time ________________

(Signature) __________________________________________________________________________