THE IMPERIAL PLAZA
COMMERCIAL INFORMATION FORM
OCCUPANT:__________________________________________________DBA______________________________________________
UNIT NUMBER:_______________________ PARKING STALL NUMBER(S): ___________ __________ PHONE NUMBER:______________
NATURE OF BUSINESS:___________________________________ MANAGER:______________________________________________
BILLING/MAILING ADDRESS (IF DIFFERENT FROM PROPERTY ADDRESS):
_________________________________________________________
_________________________________________________________
_________________________________________________________
VEHICLE(S):
MAKE:_______ YEAR:_______ MODEL:_______ COLOR:_______ LICENSE PLATE #:_______ DECAL #:________
MAKE:_______ YEAR:_______ MODEL:_______ COLOR:_______ LICENSE PLATE #:_______ DECAL #:________
IF YOU HAVE ADDITIONAL VEHICLES, PLEASE NOTE COMPLETE INFORMATION AS ABOVE ON THE REVERSE SIDE OF THIS PAGE.
UNIT OWNER OR AGENT:________________________________________ PHONE NUMBER:________________________
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EMERGENCY INFORMATION
(THE OCCUPANT OR OTHER RESPONSIBLE PERSON(S) WHO CAN BE REACHED TO MAKE A DECISION IN
CASE OF AN EMERGENCY ON THE PREMISES.)
CONTACT:________________________________________________________ PHONE NUMBER:______________________________
CONTACT:________________________________________________________ PHONE NUMBER:______________________________
I/WE HEREBY ACKNOWLEDGE THAT I/WE HAVE RECIEVED AND READ A COPY OF THE HOUSE RULES AND BYLAWS AND AGREE TO COMPLY WITH SAME. I/WE UNDERSTAND
THAT VIOLATION OF THE HOUSE RULES AND/OR BYLAWS SHALL GIVE THE BOARD OF DIRECTORS THE AUTHORITY TO TAKE APPROPRIATE ACTION, INCLUDING BUT NOT
LIMITED TO LEGAL PROCEEDINGS, FOR REMEDY. I/WE UNDERSTAND THAT IN CASE OF AN EMERGENCY, THE OPERATIONS MANANGER, GENERAL MANAGER, OR ANY OTHER
PERSON AUTHORIZED BY THE BOARD OF DIRECTORS IS GRANTED IMMEDIATE RIGHT OF ENTRY, WHETHER THE OCCUPANT OR OWNER IS PRESENT AT THE TIME OR NOT.
THE UNIT DOOR MAY BE FORCED OPEN TO GAIN ENTRY AND ANY DAMAGE AND OTHER COSTS WILL BE THE EXPENSE OF THE OCCUPANT OR OWNER IF THE OWNER IS NOT
PRESENT IF AN EMERGENCY IS TO TAKE PLACE AND THERE IS NO ANSWER TO CONTACT ATTEMPTS.
SIGNATURE:_______________________________________________________ DATE:________________________________
SIGNATURE:________________________________________________________DATE:________________________________
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AUTHORIZED PERSONNEL (IN ADDITION TO EMERGENCY CONTACTS, 1ST PAGE)
PLEASE ATTACH A SEPARATE SHEET IF NECESSARY.
______________________________________________ PHONE NUMBER:_______________________
______________________________________________ PHONE NUMBER:_______________________
______________________________________________ PHONE NUMBER:_______________________
______________________________________________ PHONE NUMBER:_______________________
______________________________________________ PHONE NUMBER:_______________________
______________________________________________ PHONE NUMBER:_______________________
______________________________________________ PHONE NUMBER:_______________________
______________________________________________ PHONE NUMBER:_______________________
______________________________________________ PHONE NUMBER:_______________________
______________________________________________ PHONE NUMBER:_______________________
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HOURS OF OPERATION: BUSINESS HOLIDAYS (CHECK APPLICABLE DAYS)
MONDAY ________TO________ NEW YEARS DAY [ ] ADMISSIONS DAY [ ]
TUESDAY ________TO________ MARTIN LUTHER KING DAY [ ] LABOR DAY [ ]
WEDNESDAY ________TO________ PRESIDENTS DAY [ ] DISCOVERERS DAY [ ]
THURSDAY ________TO________ KUHIO DAY [ ] VETERANS DAY [ ]
FRIDAY _______TO_________ GOOD FRIDAY [ ] THANKSGIVING [ ]
SATURDAY _______TO_________ MEMORIAL DAY [ ] CHRISTMAS [ ]
SUNDAY _______TO_________ KAMEHAMEHA DAY [ ] OTHER [ ]
FOURTH OF JULY [ ]
PLEASE COMPLETE AND RETURN THESE FORMS
TO THE RESIDENT MANAGER'S OFFICE IMMEDIATELY .... THANK YOU!
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