New Client Registration Form Form

1

Company/Agency nameplease use your legal entity name

2

Company Tax ID* This field is required.

3

Agent's name

First Name

Last Name

4

Phone Number* This field is required.

Country code

Phone Number

5

E-mail

example@example.com

6

Full Name* This field is required.

First Name

Last Name

7

Nationality* This field is required.

8

Phone Number* This field is required.For your privacy assurance, you can leave the last two digits of the phone number as **

Country code

Phone Number

9

E-mail

example@example.com

10

Passport number

11

Do you need our sales team's assistance in communication with client?

YESNO

12

Please choose date and time for the inspectionPlease be informed that we arrange meetings with clients at our office (Kalinka Thailand) at Royal Phuket Marina before the completion of the show villa at the project’s location in Bang Tao. Skip this if you do not need to meet with the sales team.

13

Additional information: