Monday, September 06, 2010
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Tenant Application Form
Web
Site
Tenant Application Form
Please use the Manage Form Option to Develop your Form
Business Name
Tax id #
Current Business Address
State
Zip
E-Mail Address
Website (URL)
Date Business Formed
Registered Secretary of State / County
Yes
No
Business Structure
Sole Proprietor
Corporation
Partnership
S Corporation
Limited Liability Corp
Non-Profit Organization
Principal Business Owner(s)
Principal Business Owner(s)
Name
Phone
Ownership %
Address
City
State/Zip
______________________________________________________________
Description
General Liability Insurance
Yes
No
If Yes, which company
Patent
Yes
No
Initial Capitalization: (Check One)
Less than $10,000
$10001 - $25000
$25001 - $50000
$50001 - $100000
$100001 - $500000
Over $500000
Do you have a written business plan?
Yes
No
What type of space are you looking for?
Office
Research Lab
Check services you will need while occupying space at ERDC Incubator:
Copier
Fax
Internet
Mail Handling
Conference Room
Audio / Visual Aids
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