Yes, I'm interested in learning more about Selling My Company. Here is some basic information about my business, which I understand will be held in the strictest confidence: My Name: Business Telephone: Business Name: Fax: Business Address: E-mail: Suite #: State: City: Zip How you prefer to be contacted: Type of Business : Annual Sales: Number of employees: Years in business: Years same management:     Other Interests: Buying:  Selling:  Raising Capital: Date(s) I will be available for the one-on-one Head Start Seminar: Preferred date: Alternate date:

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