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1
Full Name
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First Name
Last Name
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2
Your Phone Number
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Please enter a valid phone number.
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3
Your Email Address
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example@example.com
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4
What brings you here today?
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I want to sell my business
I want to buy a business
Need payment processing solutions
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5
Business Name
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6
What does your business do?
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7
What were your total gross sales last year?
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Please Select
Under $250,000
$250,000 to $500,000
$500,000 to $750,000
$750,000 to $1.5M
$1.5M to $3M
Over $3M
Please Select
Please Select
Under $250,000
$250,000 to $500,000
$500,000 to $750,000
$750,000 to $1.5M
$1.5M to $3M
Over $3M
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8
After paying all business expenses, how much does the business put in your pocket per year?
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Please Select
Under $50,000
$50,000 to $100,000
$100,000 to $200,000
$200,000 to $400,000
$400,000 to $750,000
Over $750,000
Please Select
Please Select
Under $50,000
$50,000 to $100,000
$100,000 to $200,000
$200,000 to $400,000
$400,000 to $750,000
Over $750,000
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9
How is the business currently operated?
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Owner Operated - I run it day to day
Semi Owner Operated - I am involved part time
Absentee Owner - Managers run it without me
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10
How soon are you looking to sell?
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As soon as possible
Within 6 months
Within 1 year
Just exploring for now
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11
What type of business are you looking to acquire?
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12
Do you currently or have you previously owned a business?
*
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Yes, I have owned a business before
No, this would be my first
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13
What is your acquisition budget?
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Please Select
Under $250,000
$250,000 to $500,000
$500,000 to $1M
$1M to $3M
Over $3M
Please Select
Please Select
Under $250,000
$250,000 to $500,000
$500,000 to $1M
$1M to $3M
Over $3M
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14
Which areas are you interested in acquiring a business in?
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15
Will you require financing for your acquisition?
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No, I am a cash buyer
Yes, I would need financing
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16
When are you looking to complete a purchase?
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As soon as possible
1–3 months
3–6 months
6–12 months
Just exploring / not sure yet
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17
What are you currently paying in processing fees?
*
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Please Select
I don't know
Under 2%
2% to 2.5%
2.5% to 3%
Over 3%
Please Select
Please Select
I don't know
Under 2%
2% to 2.5%
2.5% to 3%
Over 3%
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18
Which payment solutions are you interested in?
*
This field is required.
Select all that apply to you
Reduce my processing fees
Need a POS system
Need a payment terminal
Accept more payment types (Apple Pay, Tap-to-Pay, etc.)
I’m not sure — I’d like to learn more
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19
What is your monthly processing volume?
*
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Please Select
New Business / TBD
Under $10,000
$10,000 – $25,000
$25,000 – $50,000
$50,000 – $100,000
$100,000 – $250,000
Over $250,000
Please Select
Please Select
New Business / TBD
Under $10,000
$10,000 – $25,000
$25,000 – $50,000
$50,000 – $100,000
$100,000 – $250,000
Over $250,000
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20
What industry are you in?
*
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Please Select
Retail
Restaurant / Food Service
Gas Station / Convenience Store
Laundromat
Liquor Store
Auto Repair
Other
Please Select
Please Select
Retail
Restaurant / Food Service
Gas Station / Convenience Store
Laundromat
Liquor Store
Auto Repair
Other
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21
Anything else you would like us to know before we connect with you?
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22
I understand that all information shared with Titan Business Brokers is kept strictly confidential and I consent to being contacted regarding my inquiry.
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