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CUSTOMER ENQUIRY FORM

DATE OF VISIT

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Name:

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Address (Res)

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House No

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Street Name

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Locality

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City

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Pin Code

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Ph No

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Fax

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E - Mail

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Profession
Businessman	:			Type of Business	:
Self Employed Professional	:			Service	:
Others (Please Specify)	:

Company Name:

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Designation

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Address (Business)

Building Details

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Street Name

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Locality

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City

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Pin Code

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Ph No

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Fax

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E - Mail

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You heard about the battery operated vehicles through

Vehicles presently owned by you

Model(s) Make(s) No.

Model(s) Make(s) No.

Model(s) Make(s) No.

Year of purchase of last vehicle

Self owned Co.owned

When do you Intend to purchase your next vehicle

1-2 Months 3-6 Months 1 Year 1-2 Year No Plans

Your Purchase of vehicle shall be:

2 Wheeler Car Truck Auto Bus

Would you go for vehicle finance

Yes No

Remarks (If any):

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