BUSINESS BUYER Registration Form
The information you submit on this registration form, will be listed on AlphaInvestmentBank.com only to the degree of disclosure you request in the "Listing Options" section of this form.
For our terms and conditions refer to Registration Terms and Conditions & Data Protection and Privacy Policy.
Approved Buyers can acess our Treasure Chest -- a databank of Merger and Acquisition Opportunities; our Castle -- a directory of Banks and Financial Institutions; our Crown -- a directory of Investors, Venture Capitalists and Angels seeking investment opportunities, and our Resources.
NOTE: This is not a solicitation to sell or an offer to buy any security. AlphaInvestmentBank.com is not a registered broker/dealer and may not try to persuade you or anyone to sell or buy securities. The information we are gathering is for market research and qualification purposes only.
A. Buyer Profile
Category of Registration
Individual Investor Bank
User Name :
Company Name:
Sole Proprietorship Limited Liability Company Partnership Non-Profit Organization Private Corporation Public Listed Company
Co. Registration No.
Address 1:
Address 2:
Postcode :
City :
Country :
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Telephone2:
Ext.
Fax2:
Cable:
E-mail :
Website :
Persons to contact :
Name :
Position :
B. Industry Preference
Please tick at least one Industries and/or specify "Other Industry" sector in which you seek Business Opportunities..
Advertising
Biotechnology
Banking & Finance
Chemical
Distribution
Energy
Entertainment
Foods
Franchise
Infrastructure
Publishing
Transportation
Medical/Health
Consumer Service
Waste Management
Earth Science
C. Investment Capital
D. Preference
E. Investment History Please state your last 5 investments:
F. Referral Information
Who referred you to AlphaInvestmentBank.com?
What is his/her phone number?
What company/firm do they work for?
What city and country are they in? Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territories Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island & Mcdonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Korea Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent & The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia & Sandwich Islands Spain Sri Lanka Sudan Surinam Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Tajikistan Taiwan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United State of America Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands (British) Virgin Islands (U.S.) Wallis And Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe
Would you like to recommend AlphaInvestmentBank.com to your business associates?
Name
e-mail
G. Listing Options
1. List my company with full identity. (AlphaInvestmentBank.com may list my company's full information submitted to AlphaInvestmentBank.com.) 2. List my company without identity and contact information. (Other members will not be able to access information about my company's identity and contact, only my investment interests and preferences.) 3. Do not list my company. (Other members will not be able to access any information about my company.)
2. List my company without identity and contact information. (Other members will not be able to access information about my company's identity and contact, only my investment interests and preferences.)
3. Do not list my company. (Other members will not be able to access any information about my company.)
H. Membership
Please select a Membership Package.
I. Mode of Payment
US$ Bank Draft or Money Order Payable to Digital Hub Sdn. Bhd. and sent to: 807 - 9280 Salish Court, Burnaby, British Columbia Canada V3J 7J8
Charge through TM Net MicroPayment Select this mode of payment only if you were directed to this site from: TM Net Business Portal netmyne.com
Please check that you have keyed in the correct data.
By clicking the Send button, you acknowledge having read our Registration Terms and Conditions & Data Protection and Privacy Policy and that you fully understand and accept the same.
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