CONFIDENTIAL
Individual Buyer Profile
Name:
Company you are inquiring about:
Home Phone:
Work Phone:
Mobile Phone:
Fax:
Mailing Address:
City,State,Zip:
E-Mail Address:
Current Employer:
Do you currently own and operate a business?
Yes
No
If yes, what type?
Please Provide General Guidelines Concerning Your Acquisition Preferences
Preferred industry type:
Manufacturing
Distribution
Services
Retail
Construction
Trade Services
Personal Salary Requirements:
Active or Passive Ownership Interest:
Geographic Preference:
Business Interests:
Cash Available for Down Payment:
Cash Flow Requirements:
Down Payment Sources:
Please list any other information that will be useful to us in matching your skills and interests with the proper company:
Please summerize your work experience below:
