Member Application

* Required


Home Address*

Has Applicant Ever

Business Rental History (Two years history or more required)

Present Office Address
Prior Office Address



Home Address


Home Address


I hereby certify that the information provided in this Membership Application is complete, true, and correct. I understand that Urban Office will rely on the information provided in this Membership Application in making a decision to enter into an agreement with me, or in the event of a default under any agreement with me. I hereby authorize Urban Office and its agents to obtain credit reports and criminal background reports, and verify my credit standing and financial stature, rental history, and employment history. I hereby agree to release, indemnify and hold Urban Office, including Urban Office’s employees, agents, and contractors, harmless from all statutory, common law, and all other liability claims related to Urban Office’s inquiries into, or use of, the information provided in this Membership Application, as well as Urban Office’s use of any information obtained from third parties in connection with this Membership Application.

Please upload driver's license