Rev. Mar.

2011
SIMON PROPERTY GROUP
KING OF PRUSSIA MALL
LEASE APPLICATION
Appl i cat i ons must be compl et ed i n f ul l . I ncompl et e appl i cat i ons may not be consi der ed f or avai l abl e space.
We requi re that you compl ete thi s Appl i cati on an pro!i e personal or "usi ness #i nancial statements$
Pl ease i ncl ue photos o# your prouct or ser!i ce% an photos o# the concept on a cart% &i os& or i n'l i ne store $
Your Name: Mr. Ms. First Name: ___________________________ Last Name: _______________________________
Corporate or Legal Name of your business: ____Bethlehem Art__________________ Fed. Ta !.".# __________________
APPLICANT TYPE: $%lease Che&' (ne) # *ole %roprietorship %artnership Corporation + *tate: ______
Your Business Trade Name $"BA): ____Bethlehem Art____________________________________________
Address: _________________________________City: _________________________ *tate: _____ ,!% Code: ________
-ome %hone: ___ ____ Business %hone : _ Cell %hone:________ _________
Fa #: ___ .+mail: ____ /eb *ite: ___________________________
*o&ial *e&urity #: "ri0er1s Li&ense #: *tate: _________
SPACE REQUESTED:
!n+Line *tore + *i2e "esired: __________s3. ft. ( Cart 4ios' $You %ro0ide) : *i2e: ______ft. ______ft.

(ther $des&ribe in detail) __________________________________________________________________
DESIRED LEASE TERM: ( 5+6 Months 6+7 Months 7+58 Months -oliday (nly $No0. 5 to 9an.
65)
Propose Openin) *ate+ ,-'--'.,-/ Propose 0losin) *ate+ .1'-.'.,-/
PRODUCT OR SERVICE TO BE SOLD OR (be specific):
Olive !!" c#$vi%&' c$!sses' %#(ivi() se(' $!s#$ies #%" !(*e$s

%ro:e&ted Monthly *ales: ; 5<===________ Target Mar'et>Customer: ___
List any e2istin) or pre!ious "usiness locations+ -$ __________________
.$ ________________________________________________
Please list contact in#ormation #or at least . "usiness re#erences that 3e may contact$
Name: ________________________Company: __________________________%hone No. ______________________
Name: ________________________Company: __________________________%hone No. ______________________
CREDIT RE+ERENCES,BAN- IN+ORMATION:
Ban': A&&ount #: __ %hone #: __
This Application is in no way a commitment to enter into a lease agreement with applicant. Rather, this Application is non-binding and constitutes neither a
lease nor a promise or commitment to make a lease. To be enforceable by or against a party, a lease agreement between parties must be written and signed
by both parties. King of Prussia Associates reserves the right to withdraw and reect any offer to enter into a lease agreement.
SIGN BELOW, AND RETURN THE COMPLETED APPLICATION FORM TO:
By Mail: King o P!"##ia Mall, Manag$%$n& Oi'$ ( S"i&$ )*++,
,-+ N. G"l/0 Roa1, King o P!"##ia, PA ,23+- ( A&&$n&ion: Lo'al L$a#ing R$/
By Fa4: -,+( )-5( ,-3+ By $(Mail: 66"'0a67#i %on. 'o%
Applicant states that all information contained in this Application is based on applicants information and is accurate to the best of his/her knowledge and
belief and is not based on an! information statements or representations made b! "imon #ropert! $roup.
Rev. Mar. 2011
YOUR SIGNATURE: 8888888888888888888888888888888888888 DATE: 8888888888888888888888