Your Name :	Mr /Mrs /Miss /Dr
Name of Company/Real Estate Broker :
Phone# :	H	C	W
Email :
Address :
City :
State :
Country :		Zip :
Your Client's Name :	Mr /Mrs /Miss /Dr
City :
State :
Country :		Zip :

Has your client visited the BVI before?		No / Yes?
If yes, how many times?		Never/ Once/ Twice/ Three or more times
Where did they stay?
What are they interested in buying?		CONDO/ VILLA/ VACANT LOT
What is their budget?		Under $1m/ $1m to $3m/ $3m and up
What is their time frame for buying?		Ready to buy now/ this year/ in the next couple of years
Financing Required?		Cash Purchase/ Financing Required
If your client bought a home in the BVI: