Retail Pop Up Application Form

Booking application form

Company Details

Registered company name

Trading as name

Registered address

Billing address

ABN/ACN

First name

Last name

Phone

Mobile

Booking Details

Select a shopping centre

Preferred site (if known)

Proposed usage/service

Preferred commencement dateDo you have your own equipment?

Do you have your own equipment?

Yes

Do you require power?

Do you require power?

Yes

Are you interested in Pop Up at other Lendlease centres?

Are you interested in Pop Up at other Lendlease centres?

Yes

Select a shopping centreAre you interested in centre media opportunities?

Are you interested in centre media opportunities?

Yes

Acknowledgements

GST eligible:

GST eligible

Yes

Tax authority type:

Tax authority type

GST 10%

Tax exemption certificate

Public Liability Insurance

I acknowledge that a copy of my public liability insurance certificate (minimum value $10,000,000) is required before an invoice can be issued.

Privacy authorisation statement

Do you consent to us providing a future contact phone number for sales/general enquiries we receive concerning your products after any license agreements expire?

Expression of interest only

This application form is purley an expression of interest only and in no way commits either party to a contract.

Standard terms and conditions

I have read the Lendlease Pop Up Retail Terms & Conditions, dated 1st July 2016 and agree to the conditions herein.

Please take a moment to tell us how you heard about Pop Up Retail:

How did you hear about Pop Up Retail at Lendlease

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