Lease Application for Northgate Mall, Durham NC

Submitted by superuser on Mon, 2011-09-12 13:01

Northgate Associates Leasing Application

Applicant block

Applicant's Name: *

Person or Entity: *

Who will be the principals responsible for the Lease.

Trade Name: *

Address block

Mailing Address Line 1: *

Mailing Address Line 2:

State: *

Zipcode: *

Applicant Phone information block

Business Phone: *

Business Website:

Cell/Mobile Phone:

Fax:

Federal Tax ID #:

Your Email: *

Current Business Information block

How long have you been in business?: *

How many stores do you own at present?: *

Location/Address of stores currently owned: *

Merchandise Information block

Business Concept: *

Target Market - gender and age: *

Size of Space needed: *

Please include interest in a kiosk, cart or in-line store.

Is there a particular space you are interested in?: *

List Type of Merchandise sold in your operation: *

Please list the Primary Merchandise carried (Branded vs. Non Branded), % of Space occupied, and Price Points

Bank Contact block

Bank Name: *

Address: *

Bank Contact:

Phone: *

Fax:

Email Address:

Current Business Account #: *

Business Credit Card # and Type: *