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Client Information Form
Please provide your details below
Client Details
Individual/Trust/Company
Choose an option
Number of entity purchases the property
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Title
Representative 1-First Name
Representative 1-Last Name
Email
Select an Address
Phone
Title
Representative 2-First Name
Representative 2-Last Name
Email
Select an Address
Phone
Title
Representative 3-First Name
Representative 3-Last Name
Email
Select an Address
Phone
Title
Representative 4-First Name
Representative 4-Last Name
Email
Select an Address
Are you a director?
Company Legal Name
ABN/ACN number
Are you a director?
Trust Legal Name
ABN/ACN number
Email
Registered office address
Phone
Have you used our services?
Property Information
Property type
Choose an option
If other property type, please state here
Off the plan - Sunset period:
Property address
Your Broker
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Broker Name
Broker address
Broker phone
Broker email
Purpose of property
Choose an option
Price of property
First home owner?
Completion date suitable to you
Message
Send
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PRIVACY COLLECTION NOTICE
Velox Group collects your personal information so we can provide and promote our services to you. Please understand that your information may be shared with our service provider, affiliates and related entities in both Australia and overseas. Please refer to our Privacy Policy for more details on how we collect, manage, and disclose your personal information.
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