Specialty Leasing Application Form

Date __________________________________

Business Name _________________________________________________________________________________

Address ______________________________________________________________________________________

Contact Name _________________________________________________________________________________

Home Address _________________________________________________________________________________

Telephone:

Home _______________________ Work ____________________ Cell _____________________

Fax _______________________________________ Email ______________________________________________

HST/GST Number ________________________

I am applying for RMU CART (provided by Landlord)

Kiosk space (tenant’s own display and signage must be approved by Landlord)

In-line space (tenant improvements, display and signage must be approved by Landlord)

Proposed dates or period ________________________________________________________________________

Length of time in business and existing retail operations ________________________________________________

_____________________________________________________________________________________________

Have you ever had a retail business in a shopping centre before (e.g. cart, kiosk, or store)?

Yes

No

If yes, please list the shopping centre(s) _____________________________________________________________

_____________________________________________________________________________________________

Previous sales experience (attach an additional sheet if necessary) _______________________________________

_____________________________________________________________________________________________

6464 Yonge St., Suite 232 Toronto, Ontario M2M 3X4

Tel: 416.223.9560 x 25705

Fax: 416.223.1529

Email:

Specialty Leasing Application Form - Centerpoint Mall