Please lease communicate basic property requirements to us by completing and sending us this form. Please be assured that all inquires and responses are treated with the utmost confidentiality and discretion. CONTACT INFO Name: Company: Street Address: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minniesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip: Telephone Number: Cell Phone: Fax: E-mail Address: Brief Building Description or Building Use: Preferred Town Location(s): PROPERTY REQUIRMENTS TYPE (office, warehouse, mfg, retail, investment, etc. and intended use for zoning compliance) Flex Industrial Office Warehouse Retail Other SIZE (building size, land area required) LOCATION(S) (municipalities, highways, etc.) LEASE/PURCHASE/OTHER (please specify preferred transaction) SPECIAL INFO (ceiling heights, docks, doors, dimensions, column spacing, power requirements, sprinklers, A/C, parking, occupancy, urgency, budget, etc) COMMENTS / QUESTIONS: Rent Budget or Purchases Price Range Have you already begun your search? Yes No What Have You Seen? How Else Can We Help You? Do you have a contractual agreement with an agent/agency? Yes No How did you hear about us? Worked with us in the past Client Referral Broker/Agent Referral Brochure Newspaper Ad M.L.S Internet Yellow Pages Add me to your E-mail list