SPACE APPLICATION FORM

I. COMPANY INFORMATION
Last Name First Name Middle Name

Name of Business / Store / Outlet :

Home / Office Address:

Contact Information :
Telephone No. : ___________________________ Mobile Nos. : ___________________________ Fax No. _____________________

E-mail Address : __________________________ Website (if applicable) :____________________

For Single Proprietorship: For Corporation / Partnership:
Tax Identification No. (individual)_____________________ Tax Identification No. (individual)______________________
Community Tax Cert. No. (individual) __________________ Community Tax Cert. No. (individual) __________________

If Corporation / Partnership:
Name of Partner / Incorporators Title/ Designation Name of Partner / Incorporators Title/ Designation
1. _________________________ __________________ 4. __________________________ __________________

2. _________________________ __________________ 5. __________________________ _________________

Nature of the Business:

List of Other Branches (if applicable) :

Location Products Average Monthly Sales Years in Business

Other Business:

Contact Person Other than the Owner (if any) Designation of Contact Person: Primary Contact number

II. LOCATION REQUESTED: ___Al Fresco ___ Enclave ___ Main Mall ___ The PLAZA

III. APPLICATION DETAILS:

Proposed Business to be Operated (description):
General Concept of Business:
Specific Merchandise/Services to be Carried:
Specific Target Market:
How did you know about Parkmall? ( ) internet ( ) newspaper ( ) regular customer ( ) on the air ( ) invited by a
friend
IV. REFERENCES:
a.) Personal
Name Address Contact Nos.
______________________ _________________________ ________________
______________________ _________________________ ________________

b.) Companies
______________________ _________________________ ________________
______________________ _________________________ ________________
c.) Bank
______________________ _________________________ ________________
______________________ _________________________ ________________
V. OTHER REQUIREMENTS TO BE SUBMITTED:
1) Letter of Intent
2) Company Profile (if any)
3) Concept Paper which includes:
3.1 Sample pictures of product and/or services 3.4 Price Point of the Products / Services
3.2 Sample Menu (if food) 3.5 Business Expectation
3.3 Picture of existing store (at least 3 views) 3.6 Certified monthly gross sales from the last 12 months of
operations from shopping center for existing stores/outlets
4) For Franchise: Copy of Franchise Agreement & Endorsement Letter from Franchisor

I certify that the foregoing information is true and correct. This form is only for the purpose of applying for Space at Parkmall. I am
aware that is not considered as a lease offer. Further, Parkmall Leasing Office (PLO) has the sole discretion to approve or reject this space
application and, if such application is denied, PLO has no obligation to furnish the applicant a notice or reason of such rejection. However, PLO
will keep the applicant’s file in active for six (6) months from the day of application.

________________________ ________________
Signature over printed name Date