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Buyer Response Form

To assure a thorough review of business opportunities, complete and submit this form which will email the response to us. You may also print the confirmation page and mail or fax the form to CIBB. One of our Brokers will review your information and get back to you with alternatives for your consideration.

* = Required Fields

Here is what I want (Business Types):
1st Choice: 2nd Choice: 3rd Choice: 4th Choice:
Here is what I don't want (Business Types):
1. 2. 3.
Here is the income I want:
Ideal:	Minimum:
Here is the cash down payment I have:
Ideal:	Maximum:
Here is when I am ready to close: Now Within 3 months Longer
Yes, I am ready to buy if the "Opportunity" is right. Please contact me as follows:
*First Name: M/I: Last Name: Title: Organization: Street Address: Address (cont.): City: State/Province: Zip/Postal Code: Country: Work Phone: Home Phone: FAX: *E-mail: URL: *Enter Security Code Below:           [ Refresh Image ]