eMYRge Tenant Application

eMYRge Tenancy Application Of Intent
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Current Work Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this address a commercial or residential location?*

Commercial leaseHome Office
What year was your business established (or are you in start-up mode?*
Name of company:*
Industry:*
Customer Base:*

Business to ConsumerBusiness to Business
Type of business:*

Brick-And-Mortar (but need office space)OnlineBoth
Will you invite customers to meet with you at eMYRge?*

YesNoNot sure
Number of team members that would co-work with you:*

Just me1-56-1010 or more
Rental space desired:*

Monthly Private Office/PodMonthly "Hot Desk" (shared table/no privacy)Daily "Hot Desk" Pass
Will you need conference space occasionally?*

YesNo
What hours will you most likely co-work?*
Why are you interested in being a tenant of eMYRge?*
What is important to you? (check all that apply)*

PrivacySecurityNetworking with other business ownersHigh speed internetOptional meeting/training spaceCoffee station / Refrigerator / MicrowaveParking24 hour accessBright/Natural Light environmentDark environmentQuiet environmentActive environmentWorkshops / Seminars To Grow My BizCollaboration for our teamRestaurants/Bars to walk toPitch NightsAccess to investors / funding
Is there anything else you want us to know or any special requests or suggestions for the space?*
Desired Move-In Date:*
Do you have a City of Myrtle Beach business license?*

YesNo
If you do not have a City of Myrtle Beach license, why not? (this does not disqualify you as we are trying to make the license process easier and need your feedback)*
How did you learn about eMYRge?*
Should be Empty:

eMYRge Tenancy Application Of Intent