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Mon-Sat: 10am-9pm
Sun: noon-6pm
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Glimcher Specialty Leasing Program Application for Space
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Company Name:
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Doing Business As:
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Business Address:
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City:
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State:
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Zip:
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Owner's Name:
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Contact Name:
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Email Address:
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Daytime Phone:
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Evening Phone:
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Fax Number:
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I prefer to be contacted by:
Email
Phone
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Product Description and Business Goals:
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Please briefly describe the type of business you wish to operate, as well as the products and/or services you plan to sell. Please be specific:
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Length of Agreement Desired:
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When do you want to open?
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Are you interested in:
RMU (Retail Merchandising Unit)
Kiosk
In-line Space
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What are your projected sales for the period you plan to be in the mall?
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Can you provide business references?
Yes
No
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What other information would you like us to know about you, your product or you business? You may also type your questions here.
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771 South 30th Street • Heath, OH 43056 • 740-522-6620