Building a Better Vanuatu Registration of Interest Form Registration of Interest Form Date * MM DD YYYY House Series * Select Preferred House Series REEF SERIES ACCENT SERIES FORTE SERIES PACIFIC HOUSE RANGE INFRASTRUCTURAL BUILDINGS House Model * Select Preferred House Model REEF SERIES select below Astor Consul Delphi Expanse Karma Latitude Mosaic North Nova Plateau Solaire York ACCENT SERIES select below Accent 1 Accent 2 Accent 3 Accent 4 Accent 5 Accent 6 FORTE SERIES select below Forte 1 Forte 2 Forte 3 Forte 4 Forte 5 Forte 6 Forte 7 PACIFIC HOUSE RANGE select below Bay Calypso DV Calypso SR Dunes Jade Lagoon Ocean Pearl Rose Shore INFRASTRUCTURAL BUILDINGS select below Modulex Classroom Classroom Type 1 Classroom Type 2 with Teacher Accommodation Community Halls Ablutions Blocks Crest Agency Multi-person House Name 1 * The Purchaser First Name Last Name Address (Current) * Phone * Country (###) ### #### Email * Name 2 First Name Last Name Address (Current) Phone Country (###) ### #### Email Address for Construction Site Plot No Title Reference No Intended Purchase Date Financier / Bank Contact Person Phone Country (###) ### #### Email Thank you for your interest! We will get back to you shortly. Intention to Purchase Form Intention to Purchase Form Date * MM DD YYYY House Series * Select Preferred House Series REEF SERIES ACCENT SERIES FORTE SERIES PACIFIC HOUSE RANGE INFRASTRUCTURAL BUILDINGS House Model * Select Preferred House Model REEF SERIES select below Astor Consul Delphi Expanse Karma Latitude Mosaic North Nova Plateau Solaire York ACCENT SERIES select below Accent 1 Accent 2 Accent 3 Accent 4 Accent 5 Accent 6 FORTE SERIES select below Forte 1 Forte 2 Forte 3 Forte 4 Forte 5 Forte 6 Forte 7 PACIFIC HOUSE RANGE select below Bay Calypso DV Calypso SR Dunes Jade Lagoon Ocean Pearl Rose Shore INFRASTRUCTURAL BUILDINGS select below Modulex Classroom Classroom Type 1 Classroom Type 2 with Teacher Accommodation Community Halls Ablutions Blocks Crest Agency Multi-person House Commercial in Confidence All Client discussions, notes, and records, are conducted by all MODULEX staff on a Commercial in Confidence basis. No information will be disclosed to a third party such as a financier without the express permission of the Client. Overview The Client wishes to commit to the purchase of a new Pacific Range House as nominated. This form is to establish some key preliminary information to commence the purchase process, and act as a record for all stakeholders. Name 1 * The Purchaser/Client First Name Last Name Address (Current) * Phone * Country (###) ### #### Email * Name 2 First Name Last Name Address (Current) Phone Country (###) ### #### Email Intended Purchase Date Thank you for your interest! We will get back to you shortly.
