Specialty Leasing Application
PERSONAL INFORMATION
FULL NAME
*
FIRST NAME
LAST NAME
EMAIL
*
CELL PHONE
*
Format: (000) 000-0000.
HOME PHONE
Format: (000) 000-0000.
ADDRESS
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
BUSINESS INFORMATION
BUSINESS NAME
*
STORE NAME
*
BUSINESS PHONE
Format: (000) 000-0000.
WHAT SALES VOLUME WOULD YOU PROJECT FOR YOUR CONCEPT?
MONTHLY PROJECTED SALES
FEDERAL ID #
STATE OF INCORPORATION (IF APPLICABLE)
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
LEASING INFORMATION
PLEASE SELECT THE TYPE OF SPACE THAT INTERESTS YOU
*
INLINE STORE
CART OR KIOSK
RESTAURANT
FOOD STALL
ADVERTISING OR PROMOTIONAL EVENT
OTHER
DESIRED LEASE TERM (PLEASE SELECT 1 OR 2 OPTIONS)
*
1 MONTH
1–3 YEARS
1–3 MONTHS
12 MONTHS
HOLIDAY SEASON ONLY
MORE THAN 3 YEARS
OTHER
PROPOSED START
*
-
Month
-
Day
Year
ENDING DATE (IF SEASONAL)
-
Month
-
Day
Year
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
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LINKS TO WEBSITE, ETSY PAGE, OR SOCIAL MEDIA
*
HAVE YOU OPERATED BUSINESSES IN ANY OTHER MALL BEFORE?
*
YES
NO
LOCATION NO. 1
MALL
LEASE TYPE
PERMANENT
TEMPORARY/SEASONAL
DATES
SALES
LOCATION NO. 2
MALL
LEASE TYPE
PERMANENT
TEMPORARY/SEASONAL
DATES
SALES
LOCATION NO. 3
MALL
LEASE TYPE
PERMANENT
TEMPORARY/SEASONAL
DATES
SALES
PLEASE VERIFY THAT YOU ARE A HUMAN
*
SUBMIT
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