Personal Information

Duration at Current Residence:

Duration at Previous Residence:


What specific areas/territories are you interested in applying for?


(You may attach a Resume if it provides all the information)

Previous Experience


Please list at least 3 personal references whom we may contact:


Please list at least 3 credit references whom we may contact:




Annual Sources of Income

What type of sales experience do you have?

Please rate the areas on a scale of 1-10 indicating those areas you feel you will need the most assistance?

Rating: 10= need a great deal of assistance 1=need minimal assistance

Upon completing this form

  • Send a legible copy of Driver’s license
  • Send last two years income tax statements
  • Send a copy of bank or brokerage statements reflecting cash available, stocks, bonds, etc.
  • Business Plan (short version) – 1 pg. summary
Click or drag a file to this area to upload.
Or Email the documents to

All of this information must be included to process your application.

Applicant acknowledges that TPI’s requirements are that the Franchisee and the Designated Manager must speak, read and writes in English.
By clicking Submit I declare all of the inputted information is true and correct to the best of my knowledge. Further I agree and authorize Teapioca International, LLC to run a full background check including a Consumer Credit Check in their consideration of my application to become a Teapioca Lounge Franchisee. I acknowledge that Teapioca International is acting in reliance on the information I have provided them thus far and the information they obtain from the background and credit checks to determine if I will be awarded a Teapioca Lounge Franchise.

WEBSITE DISCLAIMER: The franchising information contained in this website is not intended as an offer to sell a franchise or the solicitation of an offer to buy a franchise. The following states and provinces regulate the offer and sale of franchises and/or business opportunities: Alabama, California, Connecticut, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Michigan, Minnesota, Nebraska, New Hampshire, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Texas, Utah, Virginia, Washington and Wisconsin in the United States, and the provinces of Alberta, Ontario, New Brunswick, and Prince Edward Island in Canada. If you are a resident of one of these states or provinces, we will not offer or sell you a franchise unless and until we have complied with the applicable presale registration and disclosure requirements in your state or province.

Teapioca International, LLC
1000 Gattis School Road.
Suite 640
Round Rock, Texas 78664

©2015 BHCN, LLC