Employer Application Form

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1 Step 1
Boulevard Mall
Company Name:
Owner's Name:
Trade Marks:
Contact Name:
Address:
Phone Number:
Mobile Number:
E-mail:
Company Type:
Years in Business:
Number of Stores:
Operational in Other Malls:
Credit Cards Accepted:Visa, Master Card, Amex, Other
Area Required(sqm):Min /Max
Business Category:pick one!
Other
I/we confirm that all the information I/we have supplied is true and correct. I/we understand that I/we can be turned down for the property if I/we have falsified any information on this application. I/we hereby authorize the verification of all the above information by "Bazzan Group". This application does not constitute a contract, lease or agreement for space.
Applicant's Name:
Date:
Signature Fileupload
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