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Name:
Primary Contact:
Title:
Address:
City:
State:
Zip:
Phone:
Fax:
E-mail:
Owner(s):
Brief Description of Company and the type of work that your company expects to perform at the SDSU Innovation Campus:
How many employees will work in the business starting out?
List any past or present affiliations your company has had with SDSU researchers and departments for the purpose of developing your product(s) or assisting with your business development: Background Information on Owner(s):
Square footage & Type of space (office, lab or both) requested:
What is your target date for tenancy? (mo/date/yr)
LIST FULL NAME, ADDRESS & PHONE NUMBER, PLEASE. 1.
2.
3. List any special requirements or other information you feel would be beneficial:
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