Agent Order Form

Dear Agents,

Thank you for your order, we greatly value your business! In order for us to process your order as smoothly and as quickly as possible provide all the below information.

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.

Best Regards,

Richard Williams
Business Development Director
Plantations International

Agent's Full Name or Agent Number *

Agent's Email *

Please include your best email so we can CC you the contracts and Invoice when we send them to the client.

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Client 1 Full Name *

First

Last

Client 1 Nationality *

Client 1 Passport or National ID # *

Upload photo of ID below

Client 1 Email *

Confirm Email

Client 1 Mobile Phone *

Client 1 Home / Office Phone

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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

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Number of Trees? *

How many trees is the client purchasing?

Type of Trees? *

Purchase Price? *

Enter purchase price of the deal. Eg. 38000 , do not use any commas or symbols - numbers only!

Which currency is the deal in? *

This currency will be on the agreements and the invoice.

Payment Due Date *

What due date should we put on your client's invoice?

Client Type? *

Deal Comments that we should be aware of

Anything that you can think of that will enable us to service this client better. Eg. expiration on special pricing, beneficiary information, etc.

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Identification Document(s) Upload *

Click or drag files to this area to upload. You can upload up to 3 files.

Passport or National I.D. Cards

Proof of Address Upload *

Click or drag files to this area to upload. You can upload up to 3 files.

Electric Bill , Water Bill, Bank Statement, etc...

Comment

Agents Order Form

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