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2. First Name*
3. Last Name*
5. Email Address*

   Please supply us with an email address in case we have any questions

6. Name of Business:*
8. Current Business Street Address*
10. Address2
12. City*
13. State*
14. Zip*
16. Which is your preferred Hyattsville business district to move to?*
    -- Select One --Route 1 Corridor (Baltimore Ave.)West HyattsvilleHyattsville Crossing (PG Plaza)
18. What is your desired square footage?*
20. Are you seeking a lease or building acquisition?*

    1. Lease
    2. Acquisition
21. If Lease, what is your budget for the monthly net rate?
23. Will you need parking available?

    1. Yes
    2. No
24. Please describe any specifications for parking.
26. Will you need seating available?

    1. Yes
    2. No
27. Please describe any specifications for seating.
29. Does your business require a commercial kitchen?

    1. Yes
    2. No
30. If Yes, please list kitchen requirements.
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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field