Business Name

Business Address (in full)

Company Leasing Contact

Name

Phone

Fax

E-mail

Items in the lease of particular concern

Previous concerns with your landlord and how they were resolved

Any further comments that would aid the process

Please provide a copy of your current lease by: (check one)

___ Fax to 604 931-5251

or

___ Pick up lease from your office on _____________________(provide date & if necessary, time)

Please include at least the last 2 years operating expenses sent by your landlord.

We look forward to sharing in your succe$$!