Indicates required field
Company Name
Company Name
Contact Full Name
Contact First Name
Contact First Name
Contact Last Name
Contact Last Name
Contact Title
Contact Title
Contact Phone
Contact Phone
Please include area code.
Contact E-mail
Contact E-mail
Type of Inquiry
Type of Inquiry
- None -
Space and Property Inquiry
Maintenance Request
Space and Property Inquiry
Company Website
Company Website
Are the company principals(s) Rensselaer alumni?
Are the company principals(s) Rensselaer alumni?
- None -
Yes
No
Are you interested in leasing space in a multi-tenant building?
Are you interested in leasing space in a multi-tenant building?
- None -
Yes
No
Do you anticipate the use of hazardous chemicals?
Do you anticipate the use of hazardous chemicals?
- Select -
Yes
No
Are you interested in building your own facility?
Are you interested in building your own facility?
- None -
Yes
No
Please select your anticipated space usage need(s):
Office space
Light industrial / manufacturing
Warehouse
Wet laboratory
Other…
Enter other…
Enter other…
Please enter the approximate number of employees who will be working at this location in the first year of occupancy:
Please enter the approximate number of employees who will be working at this location in the first year of occupancy:
Please describe any specific requirements or special needs you will require for the space:
Please describe any specific requirements or special needs you will require for the space:
Loading dock, ceiling height, parking, etc
Maintenance Request
Your Tech Park address:
Your Tech Park address:
Please include building and number.
Please select the type(s) of problem you are experiencing at your location:
Electrical / fixtures
Heating / air conditioning / air quality
Roof or ceiling leak
Facility plumbing / bathrooms / kitchen areas
Pest or animal control
Snow or ice hazard
Trash or litter
Other…
Enter other…
Enter other…
Please describe the maintenance or repair issue below:
Please describe the maintenance or repair issue below:
Leave this field blank
Leave this field blank