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| * Company name: |
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| Registration form: |
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| Address (legal/actual): |
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| Contact phone numbers, e-mail: |
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| Manager, tel., mob. tel.: |
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| Person authorized for negotiations / position: |
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| Presence of current projects (city/town, addresses of shops, their names and areas): |
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| Activities which are to be carried out on the leased area: |
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| Range list of products, entertainment, and services: |
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| Trademarks: |
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| Planned lease area (min. and max.), sq.m.: |
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| Maximum possible amount of rent, c.u./sq.m. per month: |
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| Lease period (no less/ no more): |
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| Description of the project concept: |
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| Price policy (price level for goods/services/entertainment): |
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| Target consumer (age, income level, estimated number of visitors a day): |
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| Marketing activity (promo budget etc): |
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| We are interested in lease in cities/towns: |
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| Desirable neighborhood: |
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| Requirements to location: |
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| Requirements to premises: |
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| Additional information and wishes of the lessee: |
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| Date of filling out: |
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| Your name: |
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| Enter digits: |
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