Buyer's Information Sheet

POLAR MINES REALTY VENTURES, INC.

To reserve one of our units, please confirm availability of unit of your choice by calling our numbers:

PHILIPPINES

Tel. Nos.: (63-2)8963779
Mobile: +63-917-7937893
Wireless Landline, Globe: (63-2)2115330

USA/ CANADA
Tel. Nos. 001-707-812-6888
(Or leave a voice mail message and we will call you back)

Because our units are reserved fast, we suggest that you give us your top 3 or 5 choices. Please send Reservation Fee in the bank details below:

Reservation Fee: PhP25,000

Account Name: Polar Mines Realty Ventures, Inc.

Las Pinas Branch
SA Account Nos. 484-003953-7

Paseo De Roxas Branch

SA Account Nos. 824-204-7533

Routing : CITIPHMX

Las Pinas Branch

SA Account Nos. 101-03000-3643

Routing : UBPHPHMM

Shangri-la-EDSA

SA Account Nos. 259-524811-9

Please fax deposit/ remittance confirmation to (63-2)8963779. (Ask for faxtone when someone answers.)

Please fill up form below ONLY if you intend to reserve any of our units.

BUYER'S SELECTED PROJECT
Please select only one (1) project below.

Your Full Name
E-Mail Address
Contact Nos., include country, area code
Wil Tower Mall, Quezon City
Symphony Towers, Quezon City
Madison Place, Quezon City
The Gallery, Makati City
Crown Tower University Belt, Manila
Currency, Ortigas Center

Please fill up ALL FIELDS in the next forms A to F (as applicable).

A. PRINCIPAL BUYER'S INFORMATION SHEET

First Name
Middle Name
Last Name
COMPLETE Home Address
Country
Zip Code
Home Ownership (Rent, Own, Living with Relatives)
How long in above residence? (Years, Months)
E-Mail Address
Tel. Nos., including country, area codes
Mobile Nos., including country codes

Please fill up ALL FIELDS in the next form.

B. OTHER INFORMATION

Please fill up ALL FIELDS in the next form.

C. YOUR EMPLOYMENT DETAILS

Please fill up ALL FIELDS in the next form.

D. YOUR DEPENDENTS' DETAILS

No. of Dependents
Dependent 1, Name
Dependent 1, Age
Dependent 1 School/ Employer/ Business
Dependent 2, Name
Dependent 2, Age
Dependent 2 School/ Employer/ Business
Dependent 3, Age
Dependent 3 School/ Employer/ Business
More dependents? If yes, give names, ages, school/ employer/ business name
Your Name (for form submission verification)
E-Mail Address

E. PLEASE FILL UP FORM BELOW IF YOU ARE MARRIED.

YOUR SPOUSE'S INFORMATION SHEET

Your spouse's Last Name
Your spouse's First Name
Your spouse's Middle Name
E-Mail Address
Contact Nos., include country, area code
Birth Date (MM/DD/YYYY)
Nationality
Educational Attainment
School
Employment	Employed
Employment	Self-Employed
Position
Company Name
Business Address
Business Contact Nos.
Years Employed/ In Business
Your Full Name
E-Mail Address
Contact Nos., include country, area code

F. YOUR CO-BORROWER'S INFORMATION SHEET, IF ANY

(For Bank, In-House Financing for Balance Payment)

CALL US FOR YOUR INQUIRIES!

Vinia B. Lapuz, REALTOR®
REB-NCR-17369(R)-08

Business Director
VISTA LAND & LANDSCAPES Vertical Division

Tel. Nos. (63-2)8963779
Mobile Nos. +63-917-7937893
Wireless Landline: (63-2)9946778 PLDT
Wireless Landline: (63-2)2115330 Globe (Duo)

US and Canada Direct Line: 001-707-8126888
Call me or leave a message and I will call you back

E-Mail: sales@polartowers.com

Jandric D. Francisco
Property Consultant

EVERRA Network
VISTA LAND & LANDSCAPES Vertical Division

Tel. Nos. (63-2)8963779
Mobile Nos. +63-917-3821922
Wireless Landline: (63-2)2186304 Globe (Duo)

US and Canada Direct Line: 001-707-8126888
Look for Jandric
E-Mail: jandric@polartowers.com

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