First Name

Last Name

Legal Business Name

Select Business Entity Type

Time in Business

Website(if no website, write N/A)

Phone

LinkedIn Profile

By checking this box, I consent to receive non-marketing text messages from [BUSINESS NAME] about [USE_CASE_FROM_CAMPAIGN_DESCRIPTION]. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others.from [BUSINESS NAME] at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

What does your business do? (Short description)

What is your average monthly revenue?

How long have you been generating consistent revenue?

Are you currently under any active bankruptcy proceedings?

Yes

Have you ever been evicted from commercial space?

Yes

Do you anticipate any major revenue disruption in the next 12 months?

If yes, explain in blank space.

Are you comfortable committing to a 12-month lease?

Yes

Do you agree to autopay via ACH for rent?

Yes

If no, explain in blank space provided

Can you provide proof of income or business revenue upon request?

Yes

How many people will regularly occupy your space?

What is your primary reason for seeking office space?

How often will you use the office?

Do you expect high client traffic?

Yes

Are you comfortable operating within a professional shared-office environment?

Yes

What does being a good office neighbor mean to you?

Where do you see your business in 2–3 years?

If your business grows, do you anticipate expanding within the building?

Yes

What made you interested in A:Room Office space specifically?