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THE INFORMATION YOU FURNISH IN THIS FORM IS NOT BINDING AND IN NO WAY OBLIGATES YOU OR VENTURE X TO PURCHASE OR SELL A FRANCHISE. ITS PURPOSE IS TO PROVIDE OUR COMPANY WITH THE PERTINENT INFORMATION NEEDED TO EVALUATE YOU AS AN APPLICANT. THE COMPANY WILL HOLD THE ANSWERS SUPPLIED IN THIS APPLICATION IN STRICT CONFIDENCE. THE INFORMATION AND REFERENCES PROVIDED HEREIN WILL NOT BE VERIFIED WITHOUT YOUR WRITTEN AND/OR ORAL AUTHORIZATION.

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