Thank you for your interest in our successful and popular “OLD SCHOOL SATURDAY”® events. We are excited about expanding via licensing or franchising relationships.

Please complete the Preliminary Application below. The information requested below is the FIRST STEP in our careful and extensive review process. It is imperative that all information is completed accurately and in its entirety. Failure to complete all information below may impact the review of your application in an unfavorable fashion.

General Contact Information:

First Name: e-Mail: Last Name: Office Tel: Company Name: Wireless Tel: Address: Fax: City:     State: Select Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marinara Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Zip: Geographic Area of Interest: City: State: Select Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marinara Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Currently Produce Events In This Market?: Select Yes No How Did You First Learn About OSS? Select Attended OSS in ATL Heard about OSS from friend Received info via email Visited OSS website Read about OSS in article Know one of OSS organizers or mgmt. Professional Background & Experience: Your Profession: Educational Level: Select highest completed High School or GED Some College Associates Degree Bachelors Degree Masters Degree M.B.A. J.D. M.D. D.D.S. Ph.D. Your Employer: Years In Current Market: Select less than 1 year 1-2 years 2-3 years 3-4 years 4 years or more Event Planning Experience: Select Yes No Years of Event Planning: Select Zero years (new) 1 year 2 years 3 years 4 years 5 years or more Have You Attended OSS? Select Yes No Number of OSS Events Attended: Select # attended Never attended 1 event 2 events 3 events 4 events 5 or more events Company/Organization Information: Name of Entity: Legal Structure: Select entity type INC LLC PC Other Not filed/organized yet Do You Have Equity Partners?: Select Yes No Do You Have Business Insurance?: Select Yes No Number of Years in Business: Select less than 1 year 1-2 years 2-3 years 3-4 years 4 years or more Website: Do You Have an e-Mail Database? Select Yes No Number of e-Mail Subscribers: Financial Information: Net Worth: Liquid Assets: Ever Declared Bankruptcy: Select Yes No Ever Convicted of Felony: Select Yes No

Do you understand that this is a PRELIMINARY APPLICATION and you may be expected to complete other applications, provide supporting materials, be interviewed, and submit additional information as part of the process?

Select & Confirm Understanding Yes, I understand that this is a PRELIMINARY application. No, I don't understand (and I know this will count against me----LOL).

Additional Questions and/or Comments:
(share something that we should know about you our your organization)