NEW CUSTOMER PROSPECT
Customer's Full Name
*
Phone
*
PHONE TYPE
SELECT PHONE TYPE
CELL
HOME
OFFICE
FAX
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List is empty.
Email
CUSTOMER TYPE
Ex: BHPH
BHPH CUSTOMER
LHPH CUSTOMER
RENTAL CUSTOMER
CASH CUSTOMER
REPAIR CUSTOMER
OTHER TYPE CUSTOMER
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List is empty.
DOWN PAYMENT AVAILABLE
$
DATE APT SCHEDULED
APT SCHED TIME
IMPORTANT NOTES
WHO COMPLETED THIS FORM
*
ADD CUSTOMER TO DATABASE