Specialty Leasing Form

* First Name:
* Last Name:
* Company Name:
*Street Address 1:
Street Address 2:
*City:
*State:   *Zip:
*Email Address:
Fax Number:
*Home Phone:
Cell Phone:
* Work Phone:
*Commencement Date:  mm/dd/yyyy
Ending Date (seasonal only):  mm/dd/yyyy
TRADE NAME/DBA:
* I am interested in:


 
Concept / Product Information
 

*1. Who is your target customer?

1.  Male
 Female
 Male/Female
2.  Age: 3.  Income Level:
*2. What will be your average price point? 

*3. What sales volume would you project for your concept?

Monthly sales: Annual sales:
*4. Is your merchandise:
Hand-crafted by yourself
Wholesaled
Franchised
Please Describe:
*5. Do you have established resources / suppliers for the product you will sell?  Yes  No
* 6. How long does it take to receive or produce your product?
Check the closest description:
Overnight
One Week
Two Weeks
One Month
More than one month
*7. Are you currently operating a business?  Yes  No
If yes:
How many locations? 
How many years have you operated this business? 
*8. Have you operated any other businesses: Yes  No
9. Have you operated a business in any other mall before?
Location:   Permanent Temporary
Dates: Sales:
 
Location:   Permanent Temporary
Dates: Sales:
 
Location:   Permanent Temporary
Dates: Sales:
 
Leasing Questions:
Proposed Merchandise Concept/theme:
(Please describe in detail)
 
Would you like a product image mailed to you:
yes no