To start your MindSpring™ Franchise Application...

Please complete the following form to view/download the full MindSpring Disclosure Document. The completion of this form is the first step for you to take to be considered for a MindSpring operation. Your application will be reviewed within ten (10) business days. Following the review of your application, you will be contacted to discuss further your interests and ours. Answers to all questions are required.

Contact Information
First & Last Name *
First & Last Name
Street Address *
Street Address
Cell Phone *
Cell Phone
Business Phone
Business Phone
Home Phone
Home Phone
Which # do you prefer to be contacted at?
Business Experience
Provide city & state below.
For Reference
By submitting this form I certify that the information furnished in this MindSpring Request for Contact and More Information is true and correct.