This Form must be completed in full prior to any information relating to a business can be released. NQ Business Sales will not release any private information to a third party.
Primary Contact First Name
Primary Contact Last Name
Primary Contact Phone
Primary Contact Email
Other Contact First Name
Other Contact Last Name
Other Contact Phone
Other Contact Email
Post office boxes are not acceptable
Which Business/es are you enquiring on?
How did you find out about this business?
Your Accountant or Advisor
Other way of finding out
What is your preferred Business Profile and Classification?
Other Business Profile and Classification
Preferred Price Range
Less than $100,000
$100,000 to $250,000
$250,000 to $500,000
$500,000 to $750,000
750,000 to $1.5M
$1.5M to $3.5M
$3.5M to $10.0M
Your budget to buy a business
Less than $100,000
How much profit do you want to make from the business you buy?
Other Profit Expectations
Current Business and Employment
Please state your current employment or position
Other Purchase Readiness Check
Other Financing Preparation
If you answered "YES" to the previous question, what type of business are you involved in?
Confidentiality Agreement & Disclaimer
I/We are prospective buyer/s of a business and acknowledge that I/we will be supplied materials by Vendors relating to their business operations which may include, but not limited to, non-verified and non-audited trading results and/or profit and loss reports, projected trading and cashflow estimations, client details and intellectual property. I/We acknowledge and agree to not disclose or to use this proprietary information or contacts provided to us or other parties who may become competitors.
All Information is provided in the strictest confidence and readers are reminded of the conditions of the confidentiality agreement signed prior to receiving this report and in particular, that the reader has acknowledged that if they are in breach of any of the provisions of the agreement, the Seller will suffer loss and damage entitling the Seller to claim damages in proceedings against them.
All information supplied is my/our responsibility to verify and confirm, and I/We agree to not hold the Agent and/or its representatives responsible for its accuracy, liability or loss suffered by me/us in relation to the information contained in any business profile.
ALL inspections of businesses are to be arranged by the Agent by appointment only, and I/we agree to not attempt to inspect the business or premises upon which any business is carried on or to contact any Vendor or their employees directly other than through and with the Agent.
I/We understand that the Agent and its representatives are not investment and financial advisors. Their role is to simply relay information of any business in question, as provided by the Vendor, in their capacity as a representative of the Vendor.
I/We understand the Agent does not investigate the truth or accuracy of the information given to us nor proceed with any due diligence process in relation to the business, make any professional or other judgment about the materials supplied by the Vendor or assess the truth or accuracy of the information provided to us by the Vendor.
I/We agree to respect and safeguard the privacy of any Vendor by returning the business profiles, and related material to the Agent, or destroy any copies if I/We do not proceed to purchase the business.
I/We acknowledge and agree to the above conditions and agree to be bound by them.