Selling Business Form - Venture Capital Market Place

Seller Form

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Note: This form is for outright sale of business entities only. For those wish to sell part of their business ownership to finance business growth, please fill out Capital Solicitation Form .
The following information WILL be posted on the web site of Venture Capital Marketplace:

1. Business Location:
2. Business Address:
3. Industry Group:
4. Type of Business For Sale:
(e.g.,a manufacturing factory, a tourism business, a farm, a financial service web site, etc.)

5. Asking price: US$

6. Availability of Independent Valuation Report:
Yes No

7. Business Growth Stage:
8. Current Annual Sales Range:

under US$100K
US$100K - US$300K
US$300K - US$1M
more than US$1M

9. Estimated Sales in 3 years: US$

10. Contact Name:

11. Telephone Number: (country Code)-(area code)-(local phone number)

12. Fax Number: (country Code)-(area code)-(local fax number)

13. E-mail: (Enter complete address)

(Note: Email must be supplied correctly to receive a response to your submission)

14. Brief summary about the business interest: i.e. What makes this a good opportunity? (e.g. prime location, strong brand name, unique product/services, etc.). This summary will be listed on the web site of Venture Capital MarketPlace subject to all requirements being met.
Please strictly restrict your summary to within 1000 words.

The following information will NOT be published on the web site of Venture Capital Marketplace.

15. Contact Details:

Listing Submitted by:

Title:

Name of Firm:

Postal Address:

City:

State or Province:

Country:

Zip or Postal Code:

Web Site URL:

16. Permission to Publish Contact Details :

I authorize VCMP to post the following contact details of my company on the Listing page   (Please uncheck those you do not wish to be published).

Contact Name    Company Address    Fax Number     Phone Number    Email     URL

17. I guarantee the information provided is true and correct to the best of my knowledge and judgment and understand that I will responsible for any false and/or incorrect information submitted.
Yes                              No

18. Service and payment selection:

US$ 50 Business for Sale Listing for 3 months

Payment Options

Send credit card details online Send cheque

	Seller Form
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5. Asking price:	US$
6. Availability of Independent Valuation Report:	Yes No

10. Contact Name:
11. Telephone Number:	(country Code)-(area code)-(local phone number)
12. Fax Number:	(country Code)-(area code)-(local fax number)
13. E-mail:	(Enter complete address)
	(Note: Email must be supplied correctly to receive a response to your submission)

Listing Submitted by:
Title:
Name of Firm:
Postal Address:
City:
State or Province:
Country:
Zip or Postal Code:
Web Site URL: