Responder

I would appreciate confidential information regarding (Check all that apply):

	The possible sale, merger or investor(s) in my business.
	An appraisal of my business.
	Design of an owner exit strategy.
	A potential purchase of a business, merger or investment.
	Information regarding an ESOP (Employee Stock Ownership Plan) or other ownership liquidity option.
	Design / Review / Enhancement of a business plan.
	Help with current cash flow improvement and / or general business consulting.
	Answers to questions or general information.
	Information regarding possible "hidden assets".

Name:

Title:

Business Name:

Business Phone:

Address:

City, State  Zip:

, ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Home Phone:

Email:

Nature of Business:

Years in Business:

Annual Sales:

Number of Employees:

What do you think your business is worth today:

Best time and number to call:

Comments:

PLEASE NOTE: In order to maintain confidentiality with the person who answers your telephone, when we call we will simply tell them "We are returning your call". Consequently, we will not have to reveal to them the nature of our call! THANK YOU!