Home 9 Available Space 9 Application to Rent Applicant Information *Date *Contact Name *Telephone *Email Address *Home Address Company Information *Business Name *Company Form *Date Established *Business Address City/State/Zip Code *Telephone *Website *Business Type *Business Description Financials Please attach the last two years (balance sheet, income statement, etc.) Attach Financials *Type of Financing Used Number of Employees *Full-time *Part-time Projected Number of Employees *Within 12 months Business Plan? YesNo If yes, please attach: Space Needs Manufacturing Space Bay Square Footage Monthly Rent 150 4,200 $2,625* 170 3,800 $3,525* 190 4,200 $2,625* Suite Suite Square Footage Monthly Rent 130-A 546 $690 130-B 1,420 $1,780 130-C 1,077 $1,350 130-D 450 $590 Office Space Suite Square Footage Monthly Rent 100 241 $425 102 189 $340 104 328 $550 106 215 $385 108 215 $385 110 215 $385 112 328 $550 114 189 $340 116 178 $340 Current: Office (sq ft) Manufacturing (sq ft) Next 12-24 months: Office (sq ft) Manufacturing (sq ft) Special Facility Requirements Desired Occupation Date Owner/CEO Information *Owner’s Name *Co-Owners *Minority/Woman-Owned? *Current Address City/State/Zip Code *Management Experience Business Needs *What do you like most about the Janesville Innovation Center? *How can we assist your business? *Management/Technical Assistance Needed? *Top 3 Opportunities *Top 3 Challenges *Required fields. Send Message
