Broker Referral

Office Lease Manhattan, NYC

It is critical that you complete this form if you are a broker referring space. This allows us to track leads and credit you with the commissions that are due to you. Leads that are not entered will not be credited.

Required Fields are Red
You (the Broker)
Salutation:
First Name:
Middle Name:
Last Name:
Name Suffix:
Title:
Brokerage Firm:
Address 1:
Address 2:
City:
State:
or Province/Territory:
Zip Code / Postal Code:
Country:
Work Phone:
Cell Phone:
Fax:
Email:
Space Needs of Your Client (the Tenant)
Type of Business:
Intended Use:
Amount of Space (# of People):
Start Date (mm/dd/yyyy):
Duration of Rental:
Desired Location:
Contact Information of Your Client (the Tenant)
Salutation:
First Name:
Middle Name:
Last Name:
Name Suffix:
Title:
Company:
Address 1:
Address 2:
City:
State:
or Province/Territory:
Zip Code / Postal Code:
Country:
Work Phone:
Cell Phone:
Fax:
Email:
Miscellaneous
Found Us Through: (Type the newspaper, magazine, web site, or place where you found us)
Comments or Notes:
Required Fields are Red