Enquiry Form
1
Let's get to know each other
First Name
*
Last Name
*
Phone Number
*
Age
Select
25-30
31-35
36-40
41-45
45-50
51-60
60+
Email Address
*
2
Current residence details
Locality
Society
City
Nature of work
Select
Housewife
Professional
Retired
Salaried
Self Employed
Company
3
Purpose of Buying
First Home
Upgrade
Investment
4
Couple of queries related to your home
1 BHK
2 BHK
2.5 BHK
3 BHK
4 BHK
5
Budget you have in mind
< 70 L
80 to 90 L
90 to 1 Cr
1 to 1.2 Cr
1.20 to 1.40 cr
>1.40 Cr
5
How did you come to know about us?
(Please select one)
Google
Facebook
Website
Other Online
Hoardings
Mailer
SMS
Site Branding
Magazine
Newspaper
Exhibition
Radio
CP
Others
Supreme Family
3
In case of a Channel Partner with you
Firm Name
Representative Name
Contact Number
Email Address
Registered with Supreme
Select
Yes
No
Sales Representative Name
*
Select
Sheetal Garsund
Mihir Chawda
Miloni Gohil
Kiran Sharma
Apurva Kalghatgi
Shivraj Shitole
Powered by
