* Phone Number:

* e-mail:

* Contact Name:

   Fax:

   Mobile Phone:

II) Specific Requirements.-

If you already have defined specific requirements, please fill in the boxes.

Desired Location of Land Site.-

Special Equipment.-

* Name of Industrial Park, Area and/or neighborhood:

Clear Height:
(Column in Stowage Area)

7 8 9 10 11 Otra ml

Water tank capacity:

10,000 20,000 30,000 40,000 50,000 Otra Indistinta Lts

* Municipality:

Floor loading capacity (Stowage Area):

5 6 7 8 9 Otra Ton/m2

Fire protection system:
(Sprinklers)

Yes No

* State::

Dock leveler:

Yes No

Lightning rod:

Yes No

* Type of property:

Electric substation:

150 350 500 1000 Otra Kvas

Age of Property:

Dock leveler (type & Capacity):
Hydraulic      Mechanical

Roofing.-

* Use of Land:

Industria Contaminante Industria Ligera No Contaminante Centro de Distribución Centro de Almacenamiento Otro

25,000 30,000 35,000 40,000 45,000 50,000 55,000 60,000 65,000 70,000 75,000 80,000 Lbs

25,000 30,000 35,000 40,000 Lbs

Pintro Steel Sheet Caliber:

* Land Area:

m2

Docks below floor level (Sum):

Thermo-Acoustic Insulation:

Yes No

* Stowage Area:

m2

Docks at floor level: (Sum)

Light transmittance Roofing Sheets

* Office Area:

m2

III) Presupuesto y Fecha de Ocupación Pretendida.-

* Fecha Entrega del Inmueble:

Renta Pretendida:

a) Do you need a facility with special requirements and/or characteristics?:
Yes No

b) Detailed specifications or special requirements.-
The features mentioned in Section II) of this form, are the ones you need your facility to have?
Yes No
If you answered No, Please detail needed specifications in the box below:

Detailed Specifications:

Additional Comments: