Worksheet | REXIG

Worksheet Submission

REXIG Agent Name

Purchaser #1 Full Legal Name

Purchaser #1 Phone Number

Purchaser #1 Email

Purchaser 1 Address

Please Enter Address Unit Number (If Applicable)

Purchaser #1 Date of Birth

Purchaser #1 Occupation

Purchaser #1 Employer

Purchaser #1 Drivers License #

Please Upload Front of Drivers License of Purchaser #1

Upload File

Please Upload Back of Drivers License of Purchaser #1

Upload File

Please upload picture of Purchaser #1 Passport Photo or Utility Bill

Upload File

Purchaser #2 Full Legal Name

Purchaser #2 Phone Number

Purchaser #2 Email

Purchaser 2 Address

Please Enter Address Unit Number (If Applicable)

Purchaser #2 Date of Birth

Purchaser #2 Occupation

Purchaser #2 Employer

Purchaser #2 Drivers License #

Please upload Purchaser #2 Drivers License (Front)

Upload File

Please upload Purchaser #2 Drivers License (Back)

Upload File

Please upload picture of Purchaser #2 Passport Photo Or Utility Bill

Upload File

Project Name

Unit Model Choice 1

Unit Model Choice 2

Unit Model Choice 3

Parking

Locker

Electric Vehicle Parking (Request)

Your Worksheet has been Submitted!