New business referral form

A significant component of our new business growth comes from staff referrals. When you have a referral, using this form is mandatory to submit all the details of the referral to the Business Development team so that they can act upon it by making contact and completing the qualifying process.

A referral is the opportunity to do business with someone who potentially needs our services and is expecting someone to contact them.

So fill in the below form for all referrals and submit the completed form. Submitted form is sent to the Business Development team and action will be taken by them to initiate the qualifying process.

New business form

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Do not reply to this email directly. Please reply to:

A referral is the opportunity to do business with someone who potentially needs our services and is expecting someone to contact them. So fill in the below form for all referrals and submit the completed form. Submitted form is sent to the Business Development team and action will be taken by them to initiate the qualifying process.

Your details

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Name*

Email*

Branch*

Potential client details

Name*

Contact number*

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First name*

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Last name*

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Contact number*

0 of 10 max characters

How do you know this person?*

0 of 450 max characters

Role or contact description*

Property information

Address*

Property address Suburb State Postcode

Strata or facilities management*

Strata

Facilities management

Scheme number

Total number of lots

Additional information

Please advise here if you have received an email or other documents, and please send them to BD. If you have given any response time frame, or if a response has been requested by a specific time, please note that here.

For FM referrals, please state here the type of service the client is seeking.

Consent to contact

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Contact number - unused

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Lead source

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Lead source details

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Web form type

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PICA Brand

New business referral form

New business form

Your details

Potential client details

Property information

Consent to contact

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