Get Started
Ready to get started?
The first step is to complete a Confidential Qualification Statement.
Please fill out the form completely and email or fax it to our corporate office.
No
Will you continue on
your job after opening
business?
No
What are your motivations for owning your own business?
What are some of your chief concerns in starting your venture?
Please summarize the skills and experience you will use to become
a successful SafeHarbor Cafes owner?
counter easy hit
First Name
Middle Name
Last Name
Home Address
City
State
Zip
Work Phone
Home Phone
Best time to call
May we call you at
work?
Email Address
Spouse's
Name
Are you now employed?
Yes
Who will operate
business?
Self?
Spouse?
Other?
Yes
In what city and state
will you operate?
What is your target
date for opening?
ABOUT YOU