We are looking forward to evaluating your project and have put together this online submission form to help you pull together all the pieces we’ll need in order to get started. Once we have a complete submission from you, we will be able to give you a “go” or “no-go” decision. In the event that we give you a “go” decision, we will issue a Commitment Letter which spells out the terms and conditions under which we will proceed with your project.

Please make sure to fill out the form as completely as possible. Make sure to attach all relevant documents which can help us understand your specific project. If you have any questions prior to filling out the form, please call 866.347.3321 and you will be connected with one of our Project Acquisition Managers.

BUILDING NEEDS EVALUATION FORM

(For new or existing indoor facilities or greenhouses)

Submitting this form does not imply approval by FPMG. The submission of this information is for convenience only and FPMG has no responsibility to respond. All information submitted will be held pursuant to our Confidentiality Policy.
CONTACT INFORMATION
Contact First Name:* Contact Last Name:*
Title: Account Name:
Vendor Type: Street Address:
City: State or Country:
Zip code:* Contact Phone:
Contact Email: Company Phone:
Website:
PROJECT INFORMATION
Project Name: Assessors Parcel Number or Google Loc:
Project Address: Project City:
Project State or Country: Project Zip code:
Facility Size (Sq.Ft.): Project Manager/Lead Phone
Project Phone
BUILDING USE: (Check all that apply)
Grower Manufacturer Distributor Cultivator
Qa Testing Lab Genetics Equipment Supplier Other:
NEW BUILD (If Applicable)
Build-to-Suit Indoor Controlled Environment
Build-to-Suit Greenhouse
Land Currently Leased, Not Owned
Existing Liens (Investors, loans, etc.)
Litigation History
Broker
MMJ Grow License Number: # City Permit Number Issued: #
Construction Budget: $ Monthly Rent or Mortgage: $
Building Valuation: $ Average NNN Charges: $
Soft Costs Paid: $ Average Power Requirement:  
EXISTING BUILDING (If Applicable)
Existing Building (not Greenhouse or raw land)
Existing Greenhouse
Currently Leased, Not Owned
Existing Liens (Investors, loans, etc.)
Litigation History
Broker
MMJ Grow License Number: # City Permit Number Issued: #
Construction Budget: $ Monthly Rent or Mortgage: $
Building Valuation: $ Average NNN Charges: $
Soft Costs Paid: $ Average Power Requirement:  
BROKER’S NAME
Broker’s Name: Broker License#:
Contact Phone: Contact Email:
Company Name: Company Website:
Company Address: Company Zip code:
Company City: Company State:
Submitting this form does not imply approval by FPMG. The submission of this information is for convenience only and FPMG has no responsibility to respond. All information submitted will be held pursuant to our Confidentiality Policy.