LAND RENTAL APPLICATION FORM
CLIENT INFORMATION
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DATE
MM
/
DD
/
YYYY
FULL NAME
POSTAL ADDRESS
RESIDENTIAL ADDRESS
EMAIL ADDRESS
PHONE NUMBER
OCCUPATION
ABURI
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FOTOBI
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SAMSAM
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NUMBER OF ACRES NEEDED
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HOW MANY YEARS DO YOU WANT THE RENTAL FOR?
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TERMS AND CONDITIONS APPLY
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Submit
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