Council of International Restaurant Real Estate Brokers Membership Application Name of Individual: Name of Firm: Title: Address: City: State: ZIp: Telephone: Fax: Email: Web: On separate page(s), please answer the following questions: 1. List the national and/or regional restaurant chains with whom you have had experience. Give company name, trade name, contact, geographic area, type of deal completed or service work provided and an approximate time frame. 2. Briefly list all current restaurant clients and restaurant listings or provide a web link or printed material with the list. 3. Provide a resume of experience, highlighting the positions related to restaurant real estate. 4. List the various types of restaurant real estate transactions you have completed along with the geographic area, for instance shopping centers, outlets, pad sites, free standing, office buildings, etc. 5. Please list at least three references of restaurant companies with whom you have dealt, including name, address and telephone number of the contact person. 6. What are the principal trade areas you cover and their population? 7. If you cover areas outside your main metropolitan area, what is the travel time to reach that territory and how much time do you average in that territory? 8. How many people in your firm? Are you the principal decision maker? 9. Are you affiliated with any network groups? Which ones? How does your referral system operate? 10. Do you hold any professional designations or affiliations with restaurant and/or real estate groups? Please list. 11. Do you have a company brochure or any printed information we may review? Please include with your application. 12. Please provide a copy of 1) a recent market study and other materials prepared for a restaurant client and 2) listing marketing materials prepared for a landlord client. 13. How did you hear about CIRB? Have you ever worked with a CIRB member? If so, with whom did you work? 14. Please list other pertinent information you feel CIRB should be aware of in considering you for membership. I warrant that the information I have submitted is true and accurate to the best of my knowledge. Signature: Date: Thank you for your application. Please return to: Council of International Restaurant Real Estate Brokers (CIRB) 8350 N. Central Expressway, Suite 1300 Dallas, Texas 75206 Note: No check is required until requested by CIRB