Interested Parties Submission Form

General Information

Company Name: *

Address: *

Contact Name: *

Title: *

Email Address: *

Website: *

Phone Number: *

Current Date: *

Store Information

Primary Business Interest *

Are you interested in an in-line store or a kart?

For an in-line store, what is your preferred square-footage?

Please describe the specific product, service, or other concept you are proposing: *

Please include a brief description of your target market: *

What type of location are you looking for? (i.e. fixed location, kiosk, vending unit, etc.) *

What is your requested square-footage? *

How long have you been operating this concept? *

Please indicate the following:
- Your current locations for this concept
- Company background
- Forecast of potential business revenues

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