Firstname*

Lastname: *

E-mail: *

Address:

City:

State or Province: *

Postal Code: *

Phone Number:

Fax Number: (Optional)

What is your product?

Do you have photo of your product?: *

Yes No

If yes, : *

Digital files in CD Hard Copy

Location: *

Phuket ->> Kathu --- ______Kalim ______Kamala ______Patong ->> Muang --- ______Boat House ______Chalong ______Karon ______Kata ______Nai Harn ______Rawai ______Phuket Town ______Panwa ->> Thalang --- ______Bang Thao ______Laguna ______Mai Khao ______Nai Yang ______Nai Thon ______Surin Phang-Nga Krabi Island Other if other : if other:

Property type: *

Land Residential _____Apartment _____Condominium _____House _____Townhouse _____Bungalow _____Shops Other if other : if other:

Approximate Budget:

Less than 2,000,000 ß 2,000,000 - 5,000,000 ß 5,000,000 - 10,000,000 ß 10,000,000 - 20,000,000 ß 20,000,000 - 50,000,000 ß Above 50,000,000 ß Thai Baht

Additional Requirement: