Acklins Real Estate Company
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Acklins Real Estate Co / Atwood Harbour Subdivision Client Registration Form
Registration Date / /
Client Information
First Name (required)
Last Name (required)
Address
P.O.Box
City
State
Zip
Telephone#
Fax
Email (required)
Agent Information
Name
Company
Contact Information
Additional #
Email
Questions (1) Has Client visited Atwood Harbour Subdivision? Yes/No (2) If Yes /Have they made a decision on a lot. Yes/No (3) If Yes/What lot number have they selected? (4) If yes /Have they made a deposit or promised to make a deposit. Yes/No
Your Answer
All information will be confidential and will only be used by Acklins Real Estate co,for Sales purposes.