Glyfada Team

Dear Team Member,

Thank you for your order, In order for us to process your order as smoothly and as quickly as possible, please adhere to the below….

Data We Require

Client 1 is the primary client, we need his/her passport details
Client 2 is optional and can be a spouse, child, relative, etc..
Everything with a red * is mandatory.

Sales Persons Full Name *

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Client 1 Full Name *

First

Last

Client 1 Nationality *

Client 1 Passport / National ID Number *

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Client 2 Full Name

First

Last

Client 2 Nationality

Client 2 Passport / National ID Number

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Client 1 Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Client 1 Email *

Confirm Email

Client 1 Mobile Phone *

Client 1 Home / Office Phone

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Number of Trees? *

How many trees is the client purchasing?

Type of Trees *

What product did you sell?

Did you offer free replanting? *

Valid for Agarwood Only

Deal Purchase Price *

Enter purchase Price of the deal , Example... 38000 , do not use any Commas or symbols, numbers only!

What is the currency of the deal? *

select deal currency from drop down, we only accept these currencies.

Cashout Date *

What due date should we put your your clients invoice?

Is this a Fresh Deal or Reload *

Deal Comments; *

Tell us about the client, what is his job and buying motivation, the more information you give here the easier it will be for us to complete your deal.

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Name

Glyfada Team Order Form

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