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Customer Application Form - Alphabait Realty
Customer Application Form

We would like to hear from you. Please send us a message by filling out the form below and we will get back with you shortly.















DD-MM-YYYY









(close to Residential Address)

(all correspondences would be sent here)











Are you an existing Alphabait Realty Customer?

(If known, state ID Number: If Yes, please provide details of recent subscription)


DD-MM-YYYY

Are you subscribing on behalf of someone else?

(If you are an agent or proxy, please select Yes)



How many bedrooms:
Does it include maid room (BQ):
Mode of Payment


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