Specialty Leasing Program

Washington Prime Group Application for Space
Company Name
Doing Business As
Business Address
Owner(s) Name(s)
Contact Name
Email *
Website
Phone
Fax
Business Goals
Have you Ever Been A Specialty/Temporary Tenant In A Shopping Center Before?
Mall Name
Mall Location
Phone
Management Company
Contact Name
Mall Name
Mall Location
Phone
Management Company
Contact Name
Mall Name
Mall Location
Phone
Management Company
Contact Name
Do you own/operate another Business?
Business Name
Business Location
Business Type
Please check all of the properties that you are interested in...
Length of Agreement Desired
Kiosk
RMU (Retail Merchandising Unit)
In-Line
Do you currently have a sign?
Upload a photograph of your sign
Description *
What would be the price range of your product?
Who is your Customer? I.e. age, gender, income level, etc.
What is your projected sales?
What are your estimated monthly expenses?
How long does it take you to receive inventory?
What is your return policy?
Do you currently carry liability insurance?
Would you like us to refer you to a liability insurance provider?
American Express
Discover
Master Card
Visa
Name
Phone
Address
Name
Phone
Address
Name
Phone
Address
Name
Phone
Address
 
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