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*First Name:
*Last Name:
*Company Name:
*Website:
*Street Address 1:
Street Address 2:
*City:
*State:
*Zip:
*Email Address:
*Primary Phone:
*Cell Phone:
*Commencement Date:
Ending Date (seasonal only):
Male Female Male/Female
*Select age group Under 1818-2425-34Over 34
Monthly sales:
Annual sales:
Hand-crafted by yourself Wholesaled Franchised
Please describe in detail your concept & merchandise:
Yes
No
Check the closest description:
Overnight One Week Two Weeks One Month More than one month
If yes: How many locations?
How many years have you operated this business?
Location:
Permanent
Temporary
Dates:
Sales
*Attach image of product Accepted image file types: gif, png, jpg, jpeg
Has the prospective tenant or any Affiliate thereof ever been barred from bidding on contracts, or declared not responsible, by any city, town, village, county, state, or federal public entity?
Are any outstanding liens pending against the prospective tenant or any Affiliate thereof?
Are any judgments outstanding against the prospective tenant or any Affiliate thereof?
Is any suit or other legal action pending against the prospective tenant or any Affiliate thereof?
Has the prospective tenant or any Affiliate thereof ever been adjudged bankrupt, voluntarily or involuntarily, under any provision of the Bankruptcy Law, executed an assignment for the benefit of creditors, or abandoned a business without satisfying its outstanding debts?
Has the prospective tenant or any Affiliate thereof ever been convicted of a felony?
Is any elected representative or other officer or employee of, or any person whose salary is payable in whole or in part from, the federal government or the State or City of New York, or any member, officer or employee of the Metropolitan Transportation Authority or any affiliate or subsidiary thereof, directly or indirectly interested in this proposal or in the proposed lease to which it relates?
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