Lead Call Slip

Call Slip
PERSONAL DATA
Name of Client*

First NameMiddle InitialLast Name
Name of Spouse

First NameMiddle InitialLast Name
Civil Status*

SingleMarriedSeparated / DivorcedWidowed
How did you hear about Damosa Land?*

Social mediaWebsiteAgent/BrokerFriend/ReferralOn-siteOther
Highest Educational Level Completed*

High SchoolTechnical / VocationalUndergraduate DegreePostgraduate Degree
Gender*

MaleFemale
Citizenship*
Religion*
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone (Home)
Format: (000) 000-0000.
Phone (Mobile)*
Format: (0000) 000-0000.
Email (Personal)*
example@example.com
WORK INFORMATION DATA
Employer or Business Name
Position/ Designation
Phone (Office)
Format: (000) 000-0000.
Office Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reason for Buying*

Primary HomeRetirement HomeInvestment (Buy & Sell)Investment (Rental)Vacation HomeGift
Combined Monthly Household Income Range:*

Php 10,000-20,000Php 21,000-30,000Php 31,000-40,000Php 41,000-50,000Php 51,000-60,000Php 61,000 70,000Php 71,000-80,000Php 81,000-90,000Php 91,000-100,000Php 101,000 above
ACKNOWLEDGEMENT
I/We acknowledge that the seller named below, as my seller of choice for the next 30 days, who has given me a comprehensive presentation of the project. No other seller should be recognized and/or credited by Damosa Land, Inc. should I decide to make a reservation deposit for a period of 30 calendar days from signing of this Call Slip.
AUTHORIZED BY: CLIENT NAME*
Signature of Client*
AUTHORIZED BY: SELLER NAME*
Signature of Seller*
Submit together with a copy of any valid / government issued ID. with three (3) specimens signature.
Should be Empty:

Call Slip

PERSONAL DATA

WORK INFORMATION DATA