Buyer Enrollment Form

Confidentiality is our priority # 1 – No Exception

Company/Buyer Enrolment for Business Acquisition

The information in the form below, from a business acquirer, is for use for proper matching of business with the buyer preferences. Additionally, please feel free to send your own financial statement, any other material you feel would be helpful to find a business that right fit to your situation.

Please complete the form in determining a suitable business acquisition for you.
PLEASE NOTE THAT ALL INFORMATION PROVIDED IS HELD IN STRICT CONFIDENCE.

Contact Form

* indicates required field

BUYER CONTACT INFORMATION

First Name:*

Last Name:*

Company Name:

Email:*

Contact Phone:*

Your Address:

City/Town:

Postal Code/Zip:

Best Time to Call:

Morning Afternoon Evening

Website Address, if Applicable:

FINANCIAL INFORMATION

Investment Level - From: (Min $):

Investment Level - To: (Max $):

Other Equity Available to Invest $:

ACQUISITION EXPERIENCE:

How long have you been looking for an acquisition?

Have you ever purchased a business before?

Yes No

Have you ever sold a business before?

Yes No

Have you worked with an intermediary before?

Yes No

FUNCTIONAL EXPERIENCE

Previous Experience:

ACQUISITION INTEREST

Industry/Business Interested in:

Message:

CAPTCHA Code:*

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