Mazza Gallerie

For interest in permanent in-line restaurant or retail space, please complete the following. * Required Fields

* First Name:
* Last Name:
* Company Name:
*Street Address 1:
Street Address 2:
*City:
*State:	*Zip:
*Email Address:
Fax Number:
*Home Phone:
* Work Phone:
*Commencement Date:
Ending Date (seasonal only):
* I am interested in:	Temporary Leasing In-line Leasing

Concept / Product Information

^*1. Who is your target customer?

Male
Female
Male/Female

Age:

Income Level:

^*2. What will be your average price point?

*3. What sales volume would you project for your concept?

Monthly sales:

Annual sales:

^*4. Is your merchandise:

Please Describe Your Merchandise:

^*5. Do you have established resources / suppliers for the product you will sell? Yes No

^* 6. How long does it take to receive or produce your product?

Check the closest description:
	Overnight
	One Week
	Two Weeks
	One Month
	More than one month

^*7. Are you currently operating a business? Yes No

If yes:

How many locations?

How many years have you operated this business?

^*8. Have you operated any other businesses: Yes No

9. Have you operated a business in any other mall before?

* 10. What are your square footage requirements:

Leasing Questions:

Proposed Merchandise Concept/Theme:
(Please describe in detail)

* Please list the telephone number with which a leasing representative may contact you.

Mazza Gallerie

5300 Wisconsin Avenue, NW
c/o Mall Mangement Office
Washington, DC 20015
Telephone: 202 966-6114
Fax: 202 362-0471

General Manager: Rochelle R. Nagy
nagyr@urbanretail.com

Director of Operations: Bill Foster

5300 WISCONSIN AVENUE, NW | WASHINGTON, DC 20015 | FRIENDSHIP HEIGHTS RED LINE STOP | 202.966.6114