Tenant Contact Information Form

TENANT CONTACT INFORMATION

Please complete this form and return by fax or mail:

Attn: Amy Qiu, 4864 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093

Phone: (770) 638-0247 Fax: (770) 638-0249

BUSINESS INFORMATION:
Business Name: / ______
Business Address: / ______
Business Phone: / ______/ Business Fax: / ______
Business Hours: / ______
On-Site Contact Name: / ______/ Title: / ______
On-Site Contact Phone: / ______/ e-mail address: / ______
BILLING INFORMATION:
Billing Address: / ______
______
Billing Contact Name: / ______/ Title: / ______
Billing Phone: / ______/ Billing Fax: / ______
Billing Contact Hours: / ______/ e-mail address: / ______
EMERGENCY CONTACT INFORMATION: (in case of an after-hours emergency)
Emergency Contact Name: / ______/ Title: / ______
After-Hours Phone(s): / ______/ (home / cell / pager)
Emergency Contact Name: / ______/ Title: / ______
After-Hours Phone(s): / ______/ (home / cell / pager)
Security Co. Name & Phone: (if applicable) / ______
Alarm Co. Name Phone: (if applicable) / ______
LEGAL NOTICE INFORMATION:
Legal Notice Contact Name: / ______/ Title: / ______
Legal Notice Address: / ______
Legal Notice Phone: / ______/ Legal Notice Fax: / ______