Client Request Form – Immanuel Lawrence Ltd

Client Registration

Use: *

Office Commercial Residential Shop Land

No of Rooms *

No of Toilets *

No of Parlour

No of BQ

Location

Budget

Agent Name

Tentative Date to move in

I authorize Immanuel Lawrence Ltd to search for a property for me/us based on the above mentioned information. We/I agree to pay an agency fee if a suitable place is found by Immanuel Lawrence Ltd.