Mergers and Acquisition Form
Please answer the following brief questionnaire about your company.
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
-
Area Code
Phone Number
Company Name
Please choose the industry segment that your business currently serves. Check all that apply.
ENERGY
FINANCE
HEALTHCARE
REAL ESTATE
TECHNOLOGY
Other
List States Licensed to do business. (If Applicable)
Services Offered
Please provide a brief description of the services offered by your company and the primary services sold to existing clients.
Years in Business
Gross Annual Revenue
Approximate Number of Active Clients.
Please give a brief reason for wanting to sell or partner with Vanrock Financial Group.
Submit Form
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