Andrew Titley

40 Railroad Ave

Valley Stream, NY 11580

Tel: 516-561-1919 - Fax: 516-561-6262

Andy@AlbionGroup.com

Peter Santangelo

2520 NW 97th Ave; Suite 110

Miami, FL 33172

Tel: 305-406-1000- Fax: 305-406-1010

Peter@AlbionGroup.com

RV Nair

A207, ALGUJ, Pawar Nagar,

Thane, (Mumbai) Maharastra 400610, INDIA
Tel: 91 22 25207221 - Fax: 91 22 25207222
Mobile: 91 93 22876710
Nair@AlbionGroup.com

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SELLERS REGISTRATION FORM

The information below will be held in the strictest of Confidence. 

* indicates required items

 

Your Corporate Information

Your Company Name*:  

(Will not be revealed to any 3rd party  

without your express written permission)  

Your Name*:  

Your Job Title*:  

Your Email Address*:  

Your Telephone Number*: 

Your Website*:  

Your Location(s)*:  

(Other if applicable)

Brief description of your company*: 

(This is for distribution to prospective Buyers and should  

 include the reasons you are seeking to be acquired, your  

 company strengths and objectives)  

 

 

Profile of your Company:

Location(s)*:  

(For multiple locations, please hold down  

the Ctrl button and click on entries)  

(Other if applicable)

Services offered*:  

(For multiple locations, please hold down  

the Ctrl button and click on entries)  

Main Business Focus:  

(For multiple locations, please hold down  

the Ctrl button and click on entries)  

Describe any niche markets: 

 (i.e.: Trade Shows, Perishables, Garments, etc)  

Years in Business:  

Number of Employees:  

Your Revenue/Sales Range:  

Your Net Revenue/Gross Profit Range:  

Your EDBITA Range:  

(Earnings before Depreciation, Interest, Taxes and Amortization)

 

 

Profile of your Ideal Buyer:

Purchase type:  

Do you seek continued employment?:  

What is the minimum Purchase Price you would   

be willing to accept? :  

as a down-payment

in Total

 

 

Are you an Active or Passive Seller?  

Active Passive

If you are an active Seller, are you willing to pay a Retainer  

and/or contingent Sucess Fee?  

Yes No
   

Distribution of information

We recognize that information submitted is highly confidential and sensitive.  Albion will NOT under any circumstances release your company name without your express prior permission in writing.
   

Additional Services:

Would you like a quotation for preparing a  

Company Profile?  

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Would you like a quotation for performing a  

Company Valuation ?  

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