2023 Pfa Membership Application Form

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PHILIPPINE FRANCHISE ASSOCIATION

Unit 701 One Magnificent Mile Condominium Building, A proud Member


San Miguel Avenue, Ortigas Center, Pasig City of
Tel.: (632) 8687-0365 to 67 Fax: (632) 8687-0635
Email: [email protected]
Website: www.pfa.org.ph

MEMBERSHIP APPLICATION FORM


Please FILL UP completely with all the information required and submit to the Secretariat Office together with ALL the required
documents stated on page 2.
All information and documents are treated with STRICT CONFIDENTIALITY

Company Information:

Name of Company: ______________________________________________________________________________________________


Franchise Name / Brand (if different from company name): ______________________________________________________________
Type of Industry: / / Food / / Retail / /Service / / /Others:_____________________________________________________
Business Line Type: ___________________________________ Years of Operation:______________________________________
Description of Business Concept:___________________________________________________________________________________
Address: ______________________________________________________________________________________________________
Tel: __________________________ Fax: ____________________________ E-mail: _______________________
Company Website / URL: __________________Facebook: ___________________________ Twitter:___________________________
Year Business Started: ______________________________ Year Franchised: _______________________________________
Initial Capitalization: _______________________________ Present Capitalization: ___________________________________
Origin/ Type of concept / business:
 Local/Home-grown Franchisor  Philippine Licensee
 International Master Franchisee  Supplier
Country of Origin: ____________________________________ Brand/s carried: ________________________________________
________Yes, allowed to sub-franchise ________No, not allowed to sub-franchise
Number of Outlets / Branches / Franchises:
Company Owned Franchisees
Location Outlets Employees Outlets Employees
National
Metro Manila
Luzon
Visayas
Mindanao
International (Specify country)
Total

For Franchising Information:


Contact Person: __________________________________ _____________ Designation: ___________________________________
Direct line: _________________ Mobile: ______________________ Email: ________________________________________
a) Total Capital Investment (inclusive of Franchise Fee): ______________ Franchise Fee: _________________________________
b) Projected ROI Period: ________ Renewal:_____________________ Term of Franchise Agreement: ____________________
c) Royalty Fee: ___________ Mktg/Advertising Fee: __________ Other Fees: __________________________
d) Total Asset: (Check whichever is applicable)
( ) Below 3 Million ( ) P3,000,001 to P15 Million
( ) P15,000,001 to P100 Million ( ) More than P100 Million
e) Estimated System wide Sales: 2020 ___________ _______ 2021 __________________ (includes domestic and international sales)
f) Expansion plan of the company for the next 2 years
/ / International (Specify Country:_____________________________________________________)
/ / National: / / Metro Manila / / Luzon / /Visayas / / Mindanao
g.) Who developed your Franchise Agreement? _____________________________________________________________________

About the Board of Directors and Officers: (Write down all the names)

Chairman of the Board: __________________________________________________________________________________________


President/Chief Executive Officer: _________________________________________________________________________________
Board of Directors: _________________________ __________________________ _____________________________
_________________________ __________________________ _____________________________

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Representation with the PFA: (For purposes of continuity, Official Representative should preferably be the highest officer of the
organization).

Official Representative: __________________________________________ Position: _______________________________


Birthdate: __________________Tel.: ___________________ Email: ___________________Mobile No: __________________
Alternate Representative: ________________________________________ Position: _______________________________
Birthdate: __________________Tel.: ___________________ Email: ___________________Mobile No: __________________
Franchise Representative: ________________________________________ Position: _______________________________
Birthdate: __________________Tel.: ___________________ Email: ___________________Mobile No: __________________

PFA Sponsor Company/ References:

Give at least two references : (1) From PFA existing Board of Director/ Member and (2) one from any of the following: Company’s Bank
or any of your affiliations with known local industry association, clubs, or other business groupings.
1. Company: _______________________________________________________________________________________
Address: _________________________________________________________________________________________
Contact Person: ___________________________________________________________________________________
Telephone: ______________Fax: _______________ Email:__________________ Mobile No.: __________________
2. Company: _______________________________________________________________________________________
Address: _________________________________________________________________________________________
Contact Person: ___________________________________________________________________________________
Telephone: ______________Fax: _______________ Email:__________________ Mobile No.: __________________

Others:

1. Is your company a member of any other franchise association (Philippines or international)?


_____ YES _____ NO If yes, pls. specify. ___________________________________________

2. Is your company compliant with Republic Act No. 10173 (Data Privacy Act of 2012)? _____ YES _____ NO

3. Has your company been sued by another party?


(Other franchisees, your mother franchisor, your franchisee and/or sub-franchisees, suppliers, etc.)
_____ YES _____ NO If yes, when? ______________________________________________
Reasons: __________________________________________________________________________________________
__________________________________________________________________________________________

4. Do you now have other pending case/s in court?  DTI?  DOLE?


_____ YES _____ NO
Nature of the pending case/s: _________________________________________________________________________
_________________________________________________________________________
Status: ___________________________________________________________________________________________

Documents for Submission: (Kindly submit complete documents in a black binder (following the sequence below)

 Accomplished PFA Membership Application Form


 Company Profile
 Organizational Structure
 List of Key Officers including their respective mailing addresses
 Describe Franchise Support Program
 Copy of Franchise Offering/ Franchise Package
 Copy of Franchise Agreement
 List of all Franchisees with Addresses & Contact Nos. (tel no and mobile no)
 Photos of your company and franchise stores/outlets (Indicate location below the photo – at least 5 company and 5 franchise).
 Photos of your products and services.
 List of Top 3 Accredited Suppliers with contact info (company, name, position, tel no, mobile no. and email add)
 SEC / DTI Registration
 Articles of Incorporation and By- Laws
 BIR Registration
 IPO Registration
 Latest Audited Financial Statements ( 2 years )
 Endorsement from 1 existing PFA Member

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I hereby certify that all information supplied here together with all the attached documents are certified true and correct to the best of
my knowledge. I understand that any inaccurate information will be ground for the disapproval, non-acceptance and/or termination
of membership.

I hereby authorize PFA to verify with the relevant agencies, individuals, persons or entities, the accuracy of the foregoing data and to
use in the same in any lawful manner it may deem fit.

Signed by Official Representative:

___________________________________ _______________________________________________
Pls. Print Name Position

______________________________________ _______________________________________________
Signature Date

DO NOT FILL THIS LINE. FOR PFA USE ONLY

Date received by PFA Secretariat: __________________________ ( ) Original/ Hardcopy ( ) Softcopy

Received by: ________________________________________________________________________________________

Action Taken by PFA Membership Committee:

Endorsed by:

____________________________________________ _________________________________________
Printed Name and Signature Date

Action Taken by PFA Board:

( ) Approved ( ) Disapproved Date: ____________________________________

Accreditation (if approved):

( ) Regular ( ) Probationary Date: ____________________________________

Membership Dues (as of July 2015):


Category Total Assets* New Annual Membership Rate
A. Homegrown Franchisor
Micro P3M below Php 2,500.00
Small P3,000,001 – P15M Php 5,000.00
Medium P15,000,001 – P100M Php 7,500.00
Large P100M above Php 10,000.00
B. Master Franchise Php 15,000.00
C. Supplementary Members Php 2,000.00
D. Administrative Fee for New
Php 5,500.00
Members/Applicant

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