How Did You Hear About Us?
—Please choose an option—Word of MouthGoogleFacebookInstagramOnline AdMagazineReferralOther
Other:
Referral Name:
Your Name:
Your Email Address:
Your Phone (if possible, include both home and mobile numbers)
Amount Requested:
Currency: —Please choose an option—US dollarsCosta Rican colones
Use of Funds:
Property Location: Please include Province, Town, and District
Approx. Land Area: (pick square meters or square feet)
—Please choose an option—square meterssquare feet
Approx. Construction Area M2: (pick square meters or square feet)
Property Value:
Property Description: Please include the age and condition of the property
What is/are your Land Survey (plano catastrado) or Lot number(s)? (optional)
I authorize Gap Equity Loans or its designee to verify the details provided on this form as to the validity and accuracy of the information provided.
I authorize Gap Equity Loans to disclose relevant details to its network of private investors, via means including but not limited to an "Investor Alert" e-mail, in order to secure a loan.
I authorize Gap Equity Loans to place relevant details to the GapInvestments.com web site for private investors to view and inquire, in order to secure a loan.
Δ
