Specialty Leasing & Vendors Application

Date
Name*
Company Name
Address
FEIN #
Email*
Phone*
What type of space are you interested in leasing?
Square Footage Requirements *
Commencement Date*
Ending Date (Seasonal Only)
Target Gender	Male Female
Target Age
Target Income Level
Average Product Price Point?
Anticipated Monthly Sales?
Anticipated Annual Sales?
Please describe your merchandise:*
Do you have established resources/suppliers for the product you will sell?	Yes No
How long does it take to receive or produce your product?
Are you currently operating a business?	Yes No
If "YES", how many years have you operated this business?
Have you operated any other businesses?	Yes No
Have you operated a business in any other mall before?	Yes No
If "YES", please list the names and addresses in the space provided:
Any leasing questions?
Proposed Merchandise Concept/Theme (Please describe in detail):

Please answer the simple math question below to submit the form.

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