Required fields are shown in bold.

First Name:

Last Name:

Company Name:

Title:
Choose one Landlord Leasing Agent Property Manager Other

Office Phone:

Cell Phone:

E-mail:


Available Site Information

Street Address:


Nearest Major Intersection:

Shopping Center/Building Name:

Unit/Suite #:

City:

State:

Zip Code:

Dimensions of Space:

Square Footage of Space:

Price per Square Footage:

Neighboring Tenants:

Available Date:

Type of Property:
Choose one Community Power Center (3 or more anchors) Neighborhood Center (1-2 anchors) Strip Center (no anchor) Free Standing Regional Mall Other

If type of property chosen was a "Center",
provide the following information:

Total Number of Stores:

Age of Center:

Traffic Count:

Pull-up Parking (Yes or No):

10/15 Minute Parking (Yes or No):


What is the distance to the nearest:

Grocery Store:

Post Office:

Major Mall:

Drugstore:

Tourist Area:

Hospital:

University:



Reason why The UPS Store franchise would be a good
fit for this location, or any additional comments: