Name
Signatory Details
Name
*
First Name
Last Name
ID Number
*
Cell Number
*
-
Area Code
Phone Number
Residential Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Email
*
example@example.com
Company Info
Name of Company
*
Reg Number
*
Vat Number
*
Company Type
*
Premises Info
Building Name (Optional)
Unit Number (Optional)
Size Required (SQM)
*
Broker (If yes, please provide a name and number)
Leasing Info
Lease Term
Flexi Lease
1 Year
2 Years
3 Years
4 Years
5+ Years
Monthly Rental (Ex Vat)
How Many Flexi Months?
Month to Month
1 Month
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Which Landlord Contribution Would you prefer?
Beneficial Occupation
Tenant Installation
Can Only choose one of these options
Terms of Landlord Contribution
BO = How Many Months / TI = Rand Value
Escalation
Suggested Percentage
Deposit
Flexi / 1 Year Lease = 1 Month Rent
2+ Years Lease = 2 Months Exit Rent
Date of Occupation
*
-
Month
-
Day
Year
Date
Special Conditions
Signature
*
Compliance with the Protection of Personal Information Act (POPIA), also known as the POPI Act, is mandatory for all organisations in South Africa. POPI makes it illegal to collect, use or store the personal information of consumers and businesses unless it is done in accordance with the laws and regulations prescribed in the Act. Privacy Notice: DATA COLLECTED We collect the following data from our customers and suppliers: email addresses, names of contact persons, contact telephone numbers, information required for accounting and invoicing purposes, country of operation, name of organisation or person from whom data is being collected, physical addresses for delivery purposes. DATA USAGE The data collected is mainly used in the core function of our business. It will also be used for communication with customers and suppliers, dealing with internal enquiries, and to advise our customers and suppliers as to the progress being made with requests received. The information collected is also utilised by us to respond to your enquiries made on our website. We need your data to send you information regarding our services as part of our legitimate interest in your enquiry. We need to communicate with you in this regard. We will not share your data with any other third parties or use your data for any purpose other than described above. The information collected by us that you provide will not be used to make any automated decisions about you. Your data will also be used for correspondence or reports that will be sent to you concerning our services using your name and email address.
*
I agree
Copy of ID
Browse Files
PDF Preferred
Cancel
of
Company Reg Docs
Browse Files
PDF Preferred
Cancel
of
3 Months Bank Statements
Browse Files
PDF Preferred
Cancel
of
Submit
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