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Specialty Leasing Application
Company Trading
Name: *
Authorised Representative: *
Address:
Company Registration
Number:
Invoice Address (if different):
Tel No: *
Fax No:
Email: *
Product: *
How long have you been trading?: *
Please specify shopping centres you have previously sold your product in:
Who is your target customer?
(Men / Women / Children / All)
Number of promotional staff expected on site:
RMU required: *
Dates: *
Dimensions required (lenght x breadth x height): *
Site No: *
Details of power required:
Do you have a public liability insurance policy? (Please note this policy must have at least £1 million per occurrence, and be £5 million in total as an absolute minimum) Please specify any other requirements: *
Note a risk assessment and method statement may be required