Buyer Registration Form

Interest Info

Specific type of business wanted if not listed. Invalid Input

Reference number of business(es) found in search. Invalid Input

I would like my business within Invalid Input

Miles of Invalid Input

City/State Invalid Input

Financial Info

Available now for down payment? * Invalid Input
$
Will you need financing? Invalid Input
YesNo

Value of additional assets that could be used for collateral Invalid Input
$

Do you wish for the business owners to Invalid Input
Call me at home
Call me at work
Write to me
Email me

Personal Info

Your First Name * Invalid Input
Your Last Name * Invalid Input

E-mail * Invalid Input
Home Street Address(No P.O. Boxes Permitted) * Invalid Input

City * Invalid Input
State * Invalid Input

Zip * Invalid Input

Are You A Broker? * Invalid Input
YesNo

Company Name

Invalid Input Mailing Address(if different than Home Address) Invalid Input

City Invalid Input

State Invalid Input

Zip Invalid Input

Home Phone * Invalid Input

Business Phone Invalid Input
How would you like ABC to send you information: Invalid Input
- Select -Home AddressEmail

Nondisclosure Agreement

We, the undersigned, do understand that the information requested is for the purpose of obtaining data on businesses for sale by owners. We acknowledge that the information we will be receiving will be of a confidential nature. We agree to hold such information in the strictest confidence and to use such information only for the purpose of analyzing the business opportunity with regards to a possible purchase/acquisition. Further, we acknowledge and specifically agree not to reveal to any third party the information received from ABC, Inc.

In all ways, we agree to make our best effort to prevent any potential damage to the business arising as a result of our receiving such confidential information or learning of the business' interest in selling. Specifically, we agree to make no direct contact with any suppliers, customers, sales representatives, competitors, or employees of the business without the written consent of the owner.

I agree to notify ABC, Inc. of any negotiations, purchase agreements, date of ownership transfer or merger with any business advertised by ABC, Inc. ABC, Inc. may take any action to protect this information.

We understand Affiliated Business Consultants, Inc., and their employees, and/or agents present the business sellers information as provided by the owners. The material is provided as general information with the understanding that neither ABC, Inc., nor its representatives are rendering legal or accounting services or advice. They make no Broker representations and no warranty or warranties are made with respect to the accuracy of statements or information on specific business opportunities conveyed by Affiliated Business Consultants, Inc., in the course of their marketing activities.

It is also recommended by Affiliated Business Consultants, Inc., that you obtain representation by legal counsel for any negotiations or business purchases.

We have received, read, understand and agree to the terms and conditions of this non-disclosure agreement and buyer registration form.

I agree Invalid Input