Office Address

+66 (0) 76 604 400
+66 (0) 76 604 404
+66 (0) 89 649 0005
http://www.hexaconproperty.asia
info@hexaconproperty.asia

Client First Name: Mr. Ms. Mrs.

* Family Name:

*Email: *Nationality:

Can the client speak English: Yes No Some Preferred language:

Single Married Lives together How many persons:

kids:

Retired Working Student Other

*Age group: 18-29 30-40 41-50 51-60 61-65 +66

Date of birth:
*Tel: Mobile: Fax:

Street address in homeland: City Area Postal Code Country
Hotel in phuket: Room No.
Arrival Date to Phuket:
Departure Date from Phuket:
Ready to move in to Phuket, date:
*Preferred contact method: Phone E-mail Fax

*the client wants: to get information about certain project / set up a meeting / set up a view trip / Sign up for free Hexacon Property news letter via email (can choose many)

Preferred contact Time/ Date:
Preferred appointment Time/Date:
Pick up place/area:
How many persons
*Interested in: New Re-sale Under construction Off-plan Land
*Type of property: Villa Condo/Apartment Town-Home Penthouse
Type of view: Sea View Mountain View Beach Front Pool
No of bedrooms: Studio 1 Br 2 Br 3 Br 4 Br 5 Br
Purpose: Holiday Home Investment Long Stay/Home
Area preferred: Patong Kata / Karon Chalong / Rawai Kamala Bang Tao
Other area
Project name / reference number preferred:
* Price Range: 0–5 mTHB 5–10 mTHB 10–15 mTHB 15–20 mTHB 20–up mTHB
Budget: THAI BAHT

Property size preferred: sqm.

The source that the client hearing from Hexacon: Booth, Office, Newspaper, Street add, Google, Internet add, Friend, Other:

Additional information / greetings / questions