Tenant Contact Information

Tenant Contact Information Form

The Port of Benton maintains this contact list for lease, billing, and confidential emergency communications with all tenants. It is essential that our on-call facilities team can reach someone promptly. Please provide the contact information for key employees who should be reached after regular working hours in case of an emergency. Please list the home telephone numbers in the preferred order of contact below and notify us of any changes as soon as possible.

Name of Lessee: *

Main Contact Name: *

Phone: *

Fax:

Email Address: *

Number of Employees:

Local Mailing Address: *

Local Mailing Address:

Street Address

Bldg, Suite, etc. (if applicable)

City

State/Province

Zip/Postal

Billing Address (if different from mailing address):

Street Address

Bldg, Suite, etc. (if applicable)

City

State/Province

Zip/Postal

Leased Location Address: *

Leased Location Address:

Street Address

Bldg, Suite, etc. (if applicable)

City

State/Province

Zip/Postal

Additional Contacts

Contact 1 Name:

Contact 1 Phone: *

Contact 1

Main Contact

Contact 1 Email:

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Contact 2 Name:

Contact 2 Phone:

Contact 2

Main Contact

Contact 2 Email:

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I acknowledge that designated "Main Contact(s)" has/have the authority to: Order lock changes and additional keys for the space; manage work order services; change, add, and delete names of authorized personnel

Emergency Contacts

Emergency Contact 1 Name:

Emergency Contact 1 Email:

Emergency Contact 1 Phone: *

Emergency Contact 2 Name:

Emergency Contact 2 Email:

Emergency Contact 2 Phone: *

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