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Investor Service Request

Investor Service Request

Please enter the required fields to submit your complaint.
Fields with (*) are needed.
Fields with (*) are needed.

Personal Information

Request Date
Title (Salutation)
*First Name
*Last Name
Job Title
*Company Name
Address 1
Address 2
State / Province / Region
Zip Code
Example: xxxxx
P.O. Box
Example: xxxxx
*Phone Number
Example: xxxxxxx
Mobile / Cell Number
Example: xxxxxxx
Fax Number
Example: xxxxxxx
Website Address


Point of Contact(s)
Potential Local Stakeholder(s)
Investor Type
Industry / Sector
Type of Investment
Special Requirement(s)

Other Requirements

Area / Land Requirement
Energy Requirement - Electricity (KW)
Energy Requirement -
Gas (Cubic Feet)
Energy Requirement - Water
(Cubic Litre)
Labor Force - Number of
people (Skilled/ Unskilled)
*Estimated Investment (US$)

*Investment Share

*Time frame for Investment (Months)
Future Plans for Export?

Questions / Comments


Corporate Profile/ Brochure
Presentation (PowerPoint/ PDF)
Business Proposal/ Project Brief
* Type the word below


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