Buyer Registration Step 1 of 4 25% Your Contact Info:Name* First Last Email* Enter Email Confirm Email Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Do you plan on buying a business as...?*An indvidual as an owner operatorAn absentee owner for investment purposesTo add to or merge with an existing business Location of Business You'd Like to BuyWhich Mountain States are of Interest to you?* Arizona Colorado Idaho Montana New Mexico North Dakota South Dakota Texas Utah Wyoming What part of Colorado are you looking to buy a business in?Would you expand your search to any of these regions? Mountain States West Coast Midwest North East South East International Do you have any other geographic preferences? Which specific business for sale listed by our company are interested in?*Financial DetailsSelect the annual revenue (sales) ranges that are of interest to you.* Under $250,000 $250,000 - $1,000,000 $1,000,000 - $5,000,000 $5,000,000 - $10,000,000 Over $10,000,000 Select the earnings (profit) ranges that are of interest to you.* Under $250,000 $250,000 - $1,000,000 $1,000,000 - $5,000,000 $5,000,000 - $10,000,000 Over $10,000,000 How much cash do you have available for the purchase of a business?*What are the sources of these funds (e.g. savings, home equity, 401K/IRA, stocks/bonds, other real estate, and other sources)?Please explain briefly your goals in purchasing a business.*Anything else we should know? NON-DISCLOSURE AND NON-CIRCUMVENTION AGREEMENT It is a general principle of business brokerage that the disclosure of the fact that a particular business is for sale or any information about that business can do irreparable damage to that business and the Broker. For that reason Mountain States Business Brokers Group, LLC and Venator Business Advisors LLC (together the “Broker”) need to obtain a written Non-Disclosure & Non-Circumvention Agreement from all prospective Buyers prior to disclosing any specific information about the businesses it has listed for sale. The undersigned prospective Buyer (the “Buyer”), by signing this agreement, agrees as follows: That any information provided by Broker on any business is confidential and will not be disclosed to any other person who has not also signed this or a similar agreement, except for Buyer's professional business advisors (accountants, attorneys, etc.) who shall also be bound by this agreement. Information shall also include the fact that any business is for sale. Not to contact the owner of any business disclosed to Buyer, or their landlords, employees, suppliers, competitors or customers, except through Broker. To conduct all negotiations with regard to purchase of any disclosed business only through Broker, and not to circumvent, or attempt to circumvent Broker's contract with the Seller in any way. That all information regarding businesses for sale is provided by the respective Sellers without verification in any way by Broker. Broker makes no warranty, express or implied, as to the accuracy of such information, and recommends that prospect make an independent verification of such information prior to closing on the purchase of any business. Buyer assumes full responsibility for his/her reliance on such information and expressly waives all rights of recourse, if any, against Broker. Buyer shall assume all responsibility for his/her own due diligence at Buyer’s own expense. That all information provided shall be used for the sole purpose of evaluating the acquisition decision and shall not, in any manner, be used for other purposes. Buyer shall promptly advise Broker when its investigations or negotiations are completed and will promptly return or destroy all information furnished, in whatever form, without retaining copies, summaries or extracts thereof. To neither interfere nor compete with any of the businesses disclosed through the use of any information or knowledge acquired under this Agreement nor use any such information for Buyer’s own benefit. That Broker DOES NOT REPRESENT BUYER, and depending on the transaction is acting as a Transaction Broker or Seller's Agent. Buyer acknowledges that any breach of this Agreement, directly or indirectly, shall be deemed harmful to Seller and Broker and that the businesses disclosed to Buyer are also individually intended parties and beneficiaries whose rights are being protected by this Agreement & they may enforce the terms of this Agreement as if they were a party to this Agreement. This agreement is made effective the date written below and is by and among Mountain States Business Brokers Group, LLC, Venator Business Advisors, LLC and the undersigned Buyer who acknowledges that he/she has read, understands and has received a copy of this agreement.Signature*I Agree to the above non-disclosure termsDate Signed* Date Format: MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged.
