Provide the Name as "franchise_information_request_form" fields and field label in the form as follows:
Enter all other required details in the form as explained in Creating a custom form topic.
Click on Save to store the information.
Setup Notification
You might want to send a notification (Email/SMS) when somebody fills the form. You can configure a new Notification or use an existing one in the Settings tab and set it up to be sent when the form is filled.
Go to the Settings tab of the form.
Select the Action as "Send Email".
Select the mail template from the existing notification templates.
Go to the Content field to edit the content of the page. Provide the following code snippet in the Code Editor tab as shown below (themes based on angularjs)