Customer Information Form

To request a copy of our Trademark License and Use Agreement, complete the Customer Information Form below and send it to us.

(Your information is being collected so that we may contact you regarding your interest in a Hawaiian Floats Licensing Opportunity. We do not share your information with any outside parties unless you specifically authorize us to do so.)

All Fields * must be completed.

Enter N/A in fields, if "Not Applicable" to your type of business interest.

If requested information is unknown, please enter a brief explanation.

Company Name

First Name

Last Name

Telephone

Email Address

Street Address / Contact Address

City

State

Zip Code

Choose Your Restaurant Type: (Our Trademark License Agreement provides a protected territory for our Licensed Retail Store Dealers with a fixed location).

Fixed Unit (Kiosk Unit, Drive-up Unit, Full Service Cafe Unit, Convenience Store, or other)

Mobile Unit (Concession Trailer or other)

Street Address (The "Fixed Unit" location where you will be using the Hawaiian Floats Trademarks and System.)

City

State

Zip Code

Choose One:

You are "Now Open" for business.

You will be "Opening Soon" for business.

How many years in business?

When are you scheduled to open your New Business?

Please describe your Restaurant / Business Type and Menu where you would like to add Hawaiian Soft-Serve Floats.

Choose One:

Hawaiian Soft-Serve Floats will be an addition to your current menu items.

Hawaiian Soft-Serve Floats will be your main menu item.

Hawaiian Soft-Serve Floats will be your only menu item.

Are you interested in opening a new Exclusive Hawaiian Soft-Serve Floats Retail Store

Do you have a location selected where you would like to open a New Exclusive Hawaiian Soft-Serve Floats Retail Store?

Please describe your selected location where you would like to open a New Exclusive Hawaiian Soft-Serve Floats Retail Store? (example: Theme Park, Mall Kiosk, Mall In-Line Store, Shopping Strip Center, Other please describe)

What is the address, city, state and zip code of your selected location, where you would like to open a New Exclusive Hawaiian Soft-Serve Floats Retail Store? (Our Trademark License Agreement provides a protected territory for our Licensed Retail Store Dealers with a fixed location).

Will you be operating your Mobile Unit at temporary event locations, such as fairs, festivals, markets and the like? (Temporary Event Locations are events lasting 30 days or less).

Please list Counties and States where you plan to operate your Mobile Unit at Temporary Event Locations.

Will you be operating your Mobile Unit at a Semi-Permanent Location, such as a shopping center parking lot, theme park, recreational park, road-side lot or other? (Please describe Semi-Permanent Location).

What is the address, city, state and zip code of your Semi-Permanent Location where you will be operating your Mobile Unit as a Fixed Unit?

Are you interested in purchasing a Hawaiian Floats Pineapple Float Express Mobile Unit?

Have you tasted a Hawaiian Soft-Serve Float? If yes, where did you have one and how was your experience?

How did you become interested in our Hawaiian Soft-Serve Floats licensing opportunity?

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