MODU Salon Suites Pre-Leasing Application

MODU Salon Suites Pre-Leasing Application

“The Future of Salon Suites is MODU”
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Professional Information
Professional License

License NumberLicense State
Years of Experience
Current Profession

Other
Upload Drivers License

Cancelof
Current Workplace/Business Name
Business Details
Average Monthly Client Volume
Do you currently retail products?
Services you specialize in:
Social Medias or Website:
Suite Preferences
Preferred Suite Size
Daily or Weekly Budget for Suite Rental
Desired Move-In Date

MonthDayYear
Date
MODU Amenities & Interest
Acknowledgements
I certify that all information provided is true and correct. I understand this application does not guarantee a lease and is for pre-leasing purposes.
Date Signed

MonthDayYear
Date
Signature
Should be Empty: