Contact- Luna Grill

We are currently taking names for an interest list.

1. Personal Information
Full name*
Address*
City*	State* Zip code*
Email*	Daytime phone*
Own Rent	How Long:
Date of birth
Marital status
Highest level of education:	GED High School Diploma College Degree
Can you include a copy of your current resume?	No Yes (If you answered 'yes', please e-mail your resume here)

2. Business Interest
Why did you choose Luna Grill over other franchising opportunities?*
What regions are you interested in developing?*	First Choice:		Second Choice:
Would you be willing to relocate? Yes no
Do you have restaurant experience? Yes no		How Long?