Broker client registration

Data of the client interested in a property for sale in the web site www.LandInDominicanRepublic.com

First Name

Last Name

Email Address

Phone Number

Address

Zip Code

City

Your message (optional)

I declare that I am interested in the property: Reference LIDR-0770

Property description available here: https://www.landindominicanrepublic.com/directory-lands/single/rare-plot-of-land-in-las-terrenas-near-the-beach/

Price of the property: us$480,000.00

Date

I authorize www.LandInDominicanRepublic.com to keep my information for this purpose only for 90 days. (After this date it will be destroyed).

Signature
[uacf7_signature* signature]

This document is not a purchase agreement.