Specialty Leasing Application

FIRST*LAST*

COMPANY NAME*

Street Address*Address Line 2City*State / Province*ZIP / Postal Code*

EMAIL*

CELL PHONE*

HOME PHONE

WORK PHONE

FAX

ENTER YOUR BUSINESS INFORMATION BELOW:

COMMENCEMENT DATE*

ENDING DATE (IF SEASONAL)

RETAIL UNIT

KIOSK

IN-LINE LEASING

RETAIL MERCHANDISING UNIT (RMU)

CONCEPT/PRODUCT INFORMATION WHO IS YOUR TARGET CUSTOMER?

TARGET CUSTOMER GENDER

MALE

FEMALE

MALE AND FEMALE

WHAT SALES VOLUME WOULD YOU PROJECT FOR YOUR CONCEPT?

MONTHLY PROJECTED SALES*

YEARLY PROJECTED SALES*

IS YOUR MERCHANDISE . . .

MERCHANDISE TYPE

HAND-CRAFTED BY YOURSELF

WHOLESALED

FRANCHISED

PLEASE DESCRIBE IN DETAIL*

ATTACH IMAGE OF PRODUCT OR RMU

DO YOU HAVE ESTABLISHED RESOURCES/SUPPLIERS FOR THE PRODUCT YOU WILL SELL?

ANSWER

YES

NO

HOW LONG DOES IT TAKE TO RECEIVE OR PRODUCE YOUR PRODUCT?

HAVE YOU OPERATED ANY OTHER BUSINESSES?

ANSWER

YES

NO

HAVE YOU OPERATED BUSINESS IN ANY OTHER MALL BEFORE?

LOCATION NO. 1

LEASE TYPE

PERMANENT

TEMPORARY/SEASONAL

START DATE

END DATE

SALES

LOCATION NO. 2

LEASE TYPE

PERMANENT

TEMPORARY/SEASONAL

START DATE

END DATE

SALES

LOCATION NO. 3

LEASE TYPE

PERMANENT

TEMPORARY/SEASONAL

START DATE

END DATE

SALES