Initial Inquiry and Buyer Introduction Form :: FUTURIXA DZN MARKETING MANAGEMENT

Full Name

Buyer type

Individual

Company

Company Name (if applicable):

Country of Residence:

Full Address

Email

Phone Number (with country code):

Preferred Method of Communication:

Phone

Email

Preferred Product

Preferred Purity

Intended Use:

Investment

Jewelry Manufacturing

Resale/Trade

Other

Destination Country:

Expected Delivery Date:

Have you purchased gold through international suppliers before?

Yes

No

Are you willing to provide documentation for verification (KYC/AML compliance)?

Yes

No

Do you agree to Futurixa Dzn’s policy of no upfront payments and commission-based services?

Yes, I understand and agree.

Do you agree to provide a signed agreement before the sourcing process begins?

Yes, I understand and agree.

Additional Notes or Requirements:

I agree to the processing of my personal data for marketing purposes

Initial Inquiry and Buyer Introduction Form