Customer Information Slip

The aim of issuing this form is to get basic information about our esteemed clients. This is to enable us provide you with basic information from time to time our products and services. This information also helps us to provide you with a more personalized experience. Kindly complete appropriately.

Name of Company or Individual (required):

Full Contact Address:

Mobile Phone Number(required):

Your Email (required):

HOW DID YOU KNOW ABOUT OUR SERVICES ?

A RefereeOur Relationship OfficersAdvertisementPromotional Items; our branded souvenirs or gift itemsOthers (Please Specify)

All information is treated with the strictest confidence. Thank you.

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wblnigeria@gmail.comCustomer Information Slip