Premise to be leased by *

Proposed Tenant

First Name

Last Name

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Business Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

This Store Unit will be

Check appropriate boxes

First business venture of Tenant

Second location of Tenant

Sole location of Tenant

Tenant will move from present location

An addition store in a chain (indicate number below)

Rent Commencement Date

MM

DD

YYYY

Occupancy Date

MM

DD

YYYY

Should the above general understanding meet with the approval of Lessor, Lessor shall then proceed with the preparation of a Lease based upon the terms and conditions set forth in this Proposal. It is clearly understood that this Proposal is not binding upon either party hereto, and that only the fully-executed Lease shall legally bind the parties. Said Lease shall incorporate the provisions contained in a retail building lease, subject to the mutual approval of the parties hereto. *

I Accept

Proposed Lessee

First Name

Last Name

Should the above general understanding meet with the approval of Lessor, Lessor shall then proceed with the preparation of a Lease based upon the terms and conditions set forth in this Proposal. It is clearly understood that this Proposal is not binding upon either party hereto, and that only the fully-executed Lease shall legally bind the parties. Said Lease shall incorporate the provisions contained in a retail building lease, subject to the mutual approval of the parties hereto.

I accept

Proposed Lessee 2

First Name

Last Name

Receipt of this proposal will be acknowledged by email from Lessor's Representative. *

I understand that by submitting this form I may be required to provide additional information.

I accept