BOOKING FORM

NAME……………………………………………………………………………

DATE OF BIRTH ……………………………………………………………….

MARITAL STATUS

………………………………………………………………………………………

POSTAL ADDRESS:

………………………………………………………………………………………

PHYSICAL ADDRESS:

………………………………………………………………………………………

TELEPHONE NO.:

………………………………………………………………………………………

EMAIL ADDRESS:

EMPLOYMENT STATUS:   

………………………………………………………………………………………

PARCEL NO.: MEASURING: PURCHASE PRICE:

……………………………………………………………………………………

AGENT:

………………………………………………………………………………………

BUYER’S ADVOCATE:

………………………………………………………………………………………

PHYSICAL ADDRESS:

………………………………………………………………………………………

TELEPHONE NO.

………………………………………………………………………………………

EMAIL ADDRESS

HOW DID YOU HEAR OF KISWISHI

  1. Sales Associate/Staff Member                   d.    Radio
  2. Internet                               e.    Fair/Exhibition
  3. Friend/Family                   f.    Newspaper/Print Media  

Other …………………………………………..

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