HIP - Specialty Leasing Application

Specialty Leasing Application
PERSONAL INFORMATION
FULL NAME*

FIRST NAMELAST NAME
EMAIL*
CELL PHONE*
HOME PHONE
ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
BUSINESS INFORMATION
BUSINESS NAME*
STORE NAME*
BUSINESS PHONE
WHAT SALES VOLUME WOULD YOU PROJECT FOR YOUR CONCEPT?
MONTHLY PROJECTED SALES
FEDERAL ID #
STATE OF INCORPORATION (IF APPLICABLE)
LEASING INFORMATION
PLEASE SELECT THE TYPE OF SPACE THAT INTERESTS YOU*

INLINE STORECART OR KIOSKRESTAURANTFOOD STALLADVERTISING OR PROMOTIONAL EVENTOTHER
DESIRED LEASE TERM (PLEASE SELECT 1 OR 2 OPTIONS)*

1 MONTH1–3 YEARS1–3 MONTHS12 MONTHSHOLIDAY SEASON ONLYMORE THAN 3 YEARSOTHER
PROPOSED START*

MonthDayYear
ENDING DATE (IF SEASONAL)

MonthDayYear
WILL YOU BE WORKING IN THE STORE ON A REGULAR BASIS?
HOW MANY EMPLOYEES WILL BE HIRED?
DESCRIBE YOUR MERCHANDISE
PLEASE DESCRIBE YOUR PRODUCT IN DETAIL*
ATTACH IMAGE OF PRODUCT OR RMU

Cancelof
LINKS TO WEBSITE, ETSY PAGE, OR SOCIAL MEDIA*
HAVE YOU OPERATED BUSINESSES IN ANY OTHER MALL BEFORE?*

YESNO
LOCATION NO. 1
MALL
LEASE TYPE

PERMANENTTEMPORARY/SEASONAL
DATES
SALES
LOCATION NO. 2
MALL
LEASE TYPE

PERMANENTTEMPORARY/SEASONAL
DATES
SALES
LOCATION NO. 3
MALL
LEASE TYPE

PERMANENTTEMPORARY/SEASONAL
DATES
SALES
PLEASE VERIFY THAT YOU ARE A HUMAN*
Should be Empty:

Specialty Leasing Application