Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Do you have Liability Insurance? *

Yes

No

Preferred Start Date *

MM

DD

YYYY

Choose preferred lease option: *

6 months

12 months

ACKNOWLEDGMENT AND CONSENT STATEMENT *

I certify that the information provided in this application is accurate and truthful in all respects. I understand that if I am approved for leasing and any information is found to be false, my lease agreement will be subject to termination without prior notice. I authorize my former employers and salon owners to disclose details regarding my work history, habits, and performance. Additionally, I grant permission for Lineage Salon Suites to obtain my background and credit report. I acknowledge that I will read and agree to abide by all policies outlined in any procedure manuals, lease agreements, and rules and regulations that I may receive. I recognize that my electronic signature holds the same legal validity as my manual signature on this application. Furthermore, I understand and accept that, upon approval for leasing, I am committing to a minimum lease term of six months. By checking the box below, I confirm that I have reviewed and understand the Consent Statement presented in this application.

I agree to the terms above (required).

I understand that a background and credit check will be required.

Date *

MM

DD

YYYY