Brixx Pizza Franchise Opportunities

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Thank you for your interest in Brixx Wood Fired Pizza. To determine if you qualify for a Brixx franchise, please fill out our standard franchise application. For your convenience, you can begin to input information on this online form. If you don’t have time to complete or if you need to gather the requested information, you can return to your draft application by clicking on the green “Save” button on the bottom of each page of the application. Please note you will need a valid e-mail address in order to save the application.

The last page of the application will prompt you to send your application to Brixx via a “Submit” button.

Upon review of your information, the Brixx leadership team will invite qualified candidates to tour our restaurants and meet with our training staff and owners.

If you have any questions or concerns please call or email Neil Newcomb at 1-866-206-0607, Franchise@BrixxPizza.com

Retrieve saved application

Step 1: Personal Information

*= Required Field.

First Name*

Middle Initial*

Last Name*

Home Address*

City*

State*

Zip/Postal Code*

Years At Home Address*

Social Security Number*

Are you a U.S. citizen?*
Yes No

Contact Phone Number*

Email Address*

Confirm Email Address*

Where are you interested in opening a Brixx Wood Fired Pizza?*

First Choice*
City* State*

Second Choice*
City* State*

How did you learn about the Brixx Wood Fired Pizza franchise opportunity?*

When do you anticipate opening your first Brixx Restaurant?*

Click NEXT and proceed to step #2

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	I hearby attest to the accuracy of the financial statements contained in this confidential Brixx® application. I authorize Brixx Franchise Systems, LLC or its agents to verify the data submitted, to obtain a consumer credit report, and to make such additional credit, background, or character confirmations it deems necessary. I further allow Brixx Franchise Systems, LLC and its agents to contact past and present employers, schools, financial and law enforcement agencies, and any other person or source for the purpose of obtaining information about my finances, character, employment, skills, and criminal and credit history. I release all such sources and their agents and employees from all liability for providing this information.*
	I authorize Brixx Franchise Systems, LLC to release to prospective financing sources any information concerning me that may be requested by them.*
	Brixx Franchise Systems, LLC agrees to maintain in a confidential manner and restrict the use of any information contained or obtained in connection with this application for a Brixx® franchise.*