Inquiry Form for Khirithara Village Co.,Ltd.

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Inquiry Form : Date : ……………………………………………… First Name: ……………………………………………………………………………… Last Name: ……………….…………………………………………. Nationality : ………………………………………………………… Profession : ………………………………………..………………………………… Age Range : ⃝ 30 – 40 years old, ⃝ 40 – 50 years old, ⃝ 50 – 60 years old, ⃝ over 60 years old Marital Status : …………………………………………………… How many children do you have? ………………………………………… Hobbies / Interests : ……………………………………………………………………………………………………………………………………………. Address: ……………………………………………………………………………………………………………………………………………………………………. …………………………………………………………………………………… Country: ……………………………………………………………. Telephone: ………………………………………………………... Mobile Phone: ……….…………………………………………………………. E-mail address: ………………………………………………………………………………………………………………………………………………. Please provide answers to the following questions : 1. Do you have a house or an apartment in Thailand?

(

) Yes

(

) No

– If you have a house or an apartment, where is it?.................................................................................. 2. Are you interested in purchasing a house in Thailand?

(

) Yes

(

) No

3. What kind of house are you most interested in? (

) 1 Bedroom

(

) 2 Bedrooms

(

) 3 Bedrooms

(

) 4 Bedrooms or more

• Price Range (THB) : ………………………………………………........ • Area Range (Sq.M.) : ……………………………………………………

To ………………………………………………………………

4. Purpose of buying a house in Thailand (Please tick those which apply: (

) Holiday Home

(

) To let to holiday makers

(

) Investment

(

) Permanent Residence

(

) Retirement

(

) Other ……………………………………………

5. Are you interested in booking a project show trip program with us?

(

) Yes

(

) No

– If yes, please specify a convenient time period? ……………………………………………………………………………….. 6. Previous Experiences of Thailand : ……………………………………………………………………………………………………………………………………………………………… …..........……………………………………………………………………………………………………………………………………………………


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7. Have you ever been to Huay-Yang Village before?

(

) Yes

(

) No

– If yes, how many times ? …………………………………………………………………. 8. Where have you stayed in Thailand recently? ………………………........................…………………………………………………………….. 9. How did you hear about Huay-Yang Village? ………………………………………………………………………………………………………………………………………………………………………… 10. How do you know The Grove (Huay Yang) (Please tick those which apply) ? (

) www.kt-village.com

(

) Friends

(

) Newspaper / Magazine

(

) Walk-in / Passing by

(

) Email

(

) Other …....................................................................

Thank you for taking the time to complete this questionnaire, we will get back to you promptly. Khirithara Village Company Limited Tel. +66 32 815 150 Fax. + 66 32 815 151 Mob. +66 86 016 4391 (Mr. Oh) , +66 89 259 0003 (Ms. Kae) Email: info@kt-village.com

2010 Special Offer! Book by the end of 2010 and receive: – 7 days & 6 nights free accommodation – Round trip: Bangkok – Huay Yang – Bangkok – Yamaha Mio 125 – 8 Mbps internet connection for the first year


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