Odyssey Art Franchise Application

This is not an offering.
An offering can only be made by a prospectus filed first with the Department of Law
of the State involved. Such filing does not constitute approval by the Department of Law.

Please return this form promptly with a current photo.

PLEASE PRINT OR TYPE!

I. General Information

1. Name: ______________________________________________ 2. Name of Spouse: _______________________________________ 3. Home Address: ___________________________________ 4. City: ________________ State: ____ Zip Code: ________ How long at current address? ______________ 5. Social Security Number: ___________ 6. Date of Birth: _________ 7. Number of Dependents: _________ 8. Ages: _____________ 9. Home Telephone: _______________; 10. Best time to call: __________ 11. Marital Status: Single: ____ Married: ___ Separated: ___

12. What prompted your inquiry? __________________________________________________________________________ __________________________________________________________________________ 13. What intriqued you about Odyssey Art Centers? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ 14. Please attach a resume, or summary of your business experience. 15. Have you ever owned a business? Yes ____ No ____ If yes, please explain. __________________________________________________________________________ __________________________________________________________________________ 16. If selected, do you plan to devote your full time to this venture? Yes _____ No _____ Approximately how many hours a week if less than full time? ________ 17. Please attach an explanation of why you believe you can successfully operate an Odyssey Art Center Franchise. 18. What is your educational background? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ 19. Please attach a list of four personal references. 20. Do you own or rent? _______________ 21. Please provide us with your annual income: _________________. If you are not currently employed, do you have other sources of income? If yes, what? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ 22. What would you say are your strongest skills? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ 23. Why would you choose Odyssey Art Centers over another type of franchise (i.e. Mailboxes Etc., McDonalds)? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ 24. What are your long-term business goals? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ 25. Additional information or comments that you might like to share with us in evaluating your request for consideration? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ I understand this information is submitted for the purpose of applying for an Odyssey Art Center franchise and acknowledge that information provided is complete and accurate to the best of my knowledge. ___________________________________ Applicant's Signature ** Feel free to attach pages if more space is required. Please submit to: Linda Perlmutter Odyssey Art Centers New Business PO Box 512 Tarrytown, NY 10591