Locate your business at The Shops on Lane Avenue

Concept / Product Information

^*1. Who is your target customer?

Male
Female
Male/Female

Age:

Income Level:

^*2. What will be your average price point?

*3. What sales volume would you project for your concept?

Monthly sales:

Annual sales:

^*4. Is your merchandise:

Please Describe:

^*5. Do you have established resources / suppliers for the product you will sell? Yes No

^* 6. How long does it take to receive or produce your product?

Check the closest description:
	Overnight
	One Week
	Two Weeks
	One Month
	More than one month

^*7. Are you currently operating a business? Yes No

If yes:

How many locations?

How many years have you operated this business?

^*8. Have you operated any other businesses: Yes No

9. Have you operated a business in any other mall before?

Proposed Merchandise Concept/theme:
(Please describe in detail)

Would you like a product image mailed to you:
yesno

Attach image of product or RMU

The Shops on Lane Avenue offers specialty leasing programs and is currently accepting applications for our center kiosks. Short term and long term leasing opportunities available. Limited availability. For more information on specialty leasing programs fill out this convenient form, which will be forwarded to The Shops on Lane Avenue specialty leasing department. Please note that there are * Required Fields.

* First Name:
* Last Name:
* Company Name:
*Street Address 1:
Street Address 2:
*City:
*State:	*Zip:
*Email Address:
Fax Number:
*Home Phone:
Cell Phone:
* Work Phone:
*Commencement Date:	mm/dd/yyyy
Ending Date (seasonal only):	mm/dd/yyyy
* I am interested in:	Kiosk In-line Leasing