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QUANTUM BUSINESS BROKERS INC BUYER’S PERSONAL PROFILE / CONFIDENTIAL INFORMATION
Date
Name (required)
Office # (required)
Company (required)
Cell # (required)
Address (required)
Fax #
Address # (required)
City (required)
Country (required)
ZIP (required)
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Present Occupation or Business
How did you learn about our company?
Ad
Referral
Yellow Pages / Directory
Company’s Website
Other
Type of business preferred (industry)
Location preference
Level of interest
Initial interest
Strong interest
Fully committed to Acquisition
Minimum “Owner Benefit” or Earnings Before Tax income you require
Max cash down-payment available $
When will it be available?
When do you want to take possession?
Who, besides yourself is involved in decisions?
Other remarks
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