B Franchise Broker Registration Forms

Section 200 Section 200.APPENDIX B   Franchise Broker Registration Forms Section 200.ILLUSTRATION B   Broker Authorization To Whom It May Concern: ______________________ ("Broker") is hereby authorized to act as Franchise Broker and sell franchises on behalf of our company. (Check one of the Following) A. Broker shall not accept payment from any Illinois franchisee in its own name, but shall only accept checks payable to our company and shall forward said checks and applications to us within ________ days after receipt of same. B. Broker shall accept payment from franchisees in its own name. C. Broker is not authorized to accept cash, checks or other payments from prospective franchisees on behalf of our company. (Franchisor) By: Title: