Seaport Village Tenant Information Form Today's Date MM DD YYYY Business Name * First Name Last Name Owner Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Website http:// Email * Main Phone * (###) ### #### Number of Employees * Line Primary Contact First Name Last Name Phone (###) ### #### Email Line Onsite Contact First Name Last Name Phone (###) ### #### Email Line Billing Contact First Name Last Name Phone (###) ### #### Email Line Emergency Contact #1 * Please list the names of two people below who should be contacted in the event of an emergency. The individuals listed below would also be responsible for activating or responding to any emergency communications, including coordination of any required evacuation or disaster recovery. First Name Last Name Phone (###) ### #### Email Emergency Contact #2 * First Name Last Name Phone * (###) ### #### Email * Line Lease Administrator or Third Party Contact If you have an outside company providing lease administration or require correspondence, statements, etc to be mailed or emailed to any representative or location other than what is listed above, please provide the contact information here. First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email Thank you for providing the Seaport Village Management team with all of your current contact information.
