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*
Hair StylistBarberNail TechEstheticianMakeup ArtistLash TechMassage TherapistOther
Upload Drivers License

Cancelof
Current Workplace/Business Name
Business Details
Average Monthly Client Volume*
YesNo
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
On-Site Beauty SupplyPlayroom for Providers & Clients kidsShared Shampoo LoungeLaundry AccessAll Utilities Included24/7 Security & Keyless EntryHigh-Speed WiFiOn-Site Events & Classes
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*

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