BIOLOGICAL ARCHITECTURE
BIOTEKT – Authorized Agent Application FORM
Name
*
First Name(s)
Family Name
Address: Street Nr:
*
Street:
*
City:
*
State or Province:
*
Postal Code:
*
Country:
*
Tel #:
*
E mail Address:
*
example@example.com
COMPANY INFORMATION
Company name:
Position in company:
Headquarters address: Str
eet Nr:
Street Nr:
Street:
City:
City:
State or Province
INTENDED OPERATION
Intended activity:
*
Present your position in your area
Intended strategy (brief)
Present your intended market approach
Possess land and funds for a BIOTEKT house:
*
YES
NO
Land size:
Estimated date of ordering BIOTEKT First Home:
/
Month
/
Day
Year
Date
BIOTEKT prototype(s) considered:
Project Description
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