A2W Payment Confirmation Form – A2W Estates Limited

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A2W ESTATES PAYMENT CONFIRMATION FORM

I understand and agree that I am financially responsible for the payment of all services received in the amount stated below. I agree to pay the amount in the time period stated below.

For professional service rendered, I agree to pay A2W ESTATES LIMITED the decided total sum
Payment shall be deemed delinquent if not received at the payment date. If any delay arises, please reach out on time to inform the company of the delay.
Payment not made on the due date should be done on next or else will be considered as default.

I agree to the payment terms policy abovePayment Terms Agreement

Carefully fill in your payment details in the confirmation form below.

Full Nameyour full name

Emailyour valid email

Phone Numberyour whatsapp line

Addressyour home / office

Total Amount PaidTotal in Naira

Payment DetailsWrite the Number of Plot(s) you are paying fo

Bank Details (Originating Bank)Please state the Bank the money is coming from

Bank TellerSpecify the Teller Number or Transfer Number

Date of TransactionSelect from the datepicker

Additional Infomore details

0 /

Size of Land Paid forpick one!

PlotsAcre

Name of Depositorfull name as it appears on teller

Referrer's Nameplease write in the box

Referrer's Phone Numberplease write in the box

Referrer's Emaila valid email