PalmVille Subscription Form

Two ways to subscribe.

Fill the form here and receive your stamped customer copy straight away, or download the printable form, fill it by hand and return it to your PalmVille officer.

Which district are you subscribing to?

District 1 District 2

Digital form

About 10 minutes. Sign on screen, upload your ID and passport photograph, and download your customer copy the moment you submit.

A means of ID: NIN, international passport, driver's licence or voter's card
A passport photograph
For companies: board resolution and certificate of incorporation

Printable form

The same form as a PDF to print, complete in ink and sign. Attach a copy of your ID and hand it to your officer, or scan and send it to findus@lifepagegroup.com.

Download the printable form

District 1 · Subscription Form

Personal information

Subscribing as

An individual A company

Email address

Title

First name Middle name optional Last name

Phone number Nationality

Date of birth Means of ID

Residential address

Occupation Employer or business name

Employer or business address

Declarations

Beneficial ownership

Are you acting on behalf of another person?

NoYes

Source of funds

Tick where appropriate

I/We confirm the statement above.

Politically exposed person (PEP)

Are you a politically exposed person?

NoYes

Next of kin Name Address

Relationship Phone number

Subscription details

Project name

PALMVILLE (District 1)

Plot type

Number of unit(s)

Payment details

Payment plan

Currency Total amount payable Amount paid

Documents

Photos taken on your phone are fine. Images are reduced in size before they upload. PDFs must be under 4 MB each.

Passport photograph

Choose a photo

Copy of your means of ID

Choose a photo or PDF

Proof of payment optional

Choose a photo or PDF

Frequently asked questions and terms

Please read these before you sign. A copy is included in your customer copy.

Declaration

I, your full name,

Signature for the declaration

Sign in the box above

Signature accepting the FAQ and terms

Sign in the box above

Signed on

Salesperson details

No salesperson referred me

Name Partner's ID

Check your answers

Tap any section to go back and change it. Your customer copy will show exactly what is here.

Submitting your form

Preparing your documents.

Received

Thank you, .

Your subscription form has been received. Your reference is . Keep your customer copy: it carries this reference and the date you signed.

Download your customer copy

Your PalmVille officer will contact you to confirm payment and the next steps.

We could not submit your form.

Please check your connection and try again. Nothing you entered has been lost.

Your customer copy is still available: download it and send it with your documents to findus@lifepagegroup.com.