New Tenant Registration Form

Tenant Info:

Name of Tenant:

Name of local person to be contacted:

Phone (work):

Phone (home):

Fax:

Cell:

Tenant Email:

(This individual will be sent an invitation to register for the First National Tenant Service Center. Registration is required to place service and maintenance requests at all First National properties.

Alternate Contact:

Name of alternate person to be contacted:

Phone (work):

Phone (home):

Cell:

Alt Email:

Accounts Payable:

Name of accounts payable person to be contacted:

Phone:

Fax:

Email:

(This individual will be emailed rental invoices).

Internet Service:

POP (Point of Presence) Internet Providers on Property:

VERIZON (FIOS)CROWN CASTLEAT&TALTICE (LIGHTPATH)

*Your Preferred Provider:

—Please choose an option—VERIZON (FIOS)CROWN CASTLEAT&TALTICE (LIGHTPATH)

Name of I.T. person to be contacted:

Phone:

E-Mail:

Notes: (Special Internet Requirements, if any)

*The Internet Service Provider of choice will be notified to quote your Suite.

Insurance:

Please upload your organizations Insurance Certificate. The Insurance must include First National Realty Management, LLC. & the property LLC designated on page one of your lease as the Additional Insured. Liability minimum of One Million Dollars.

First National Realty Management, LLC. & the property LLC designated on page one of your lease as the Additional Insured. Liability minimum of One Million Dollars.