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BUSINESS SELLER 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 Sellers 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. Company Profile
Category of Registration
Individual Corporate Venture Capitalist Bank/Financial Institution
User Name :
Company Name:
Company Type:
Sole Proprietorship Limited Liability Company Partnerships Non-Profit Organization Private Corporation Public Listed Company
Co. Registration No.
Address1:
Address2:
Postcode :
City :
Country :
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Telephone2:
Ext.
Fax2:
Cable
E-mail :
Website :
Persons to contact :
Name :
Designation :
B. Location
Where is the Business for which you are seeking a Sale or a Merger?
C. Industry Preference
Please tick at least one Industry and/or specify "Other Industry" sector under which the Business for Sale or Merger is categorized.
Advertising
Agriculture
Biotechnology
Banking & Finance
Commercial Services
Chemical
Distribution
Education
Energy
Entertainment
Manufacturing
Foods
Franchise
Telecommunications
Infrastructure
Publishing
Restaurant
Transportation
Medical/Health
Real Estate
Consumer Service
Waste Management
Information Technology
Earth Science
Other Industry
E. Opportunity
F. List Start / End Dates
Please give an indicative period that you wish to list the Business for Sale or Merger.
G. Stake
H. Is your company listed?
I. Title
In 20 words or less, briefly describe your business for sale. This title will appear in the Treasure Chest listings with your Company Profile.
J. Description of Business for Sale
K. Financial Statements Please furnish 3 previous and the current year financial statements, stating all figures as multiples of US$1,000.
K. Financial Statements
Please furnish 3 previous and the current year financial statements, stating all figures as multiples of US$1,000.
Balance Sheet as at : / (dd/mm)
Profit & Loss Accounts for period ended: / (dd/mm)
L. Referral Information
Who referred you to AlphaInvestmentBank.com?
What is his/her e-mail address?
What is his/her phone number?
What company/firm do they work for?
What city/state 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
M. Listing Options
Carefully select one of the three Listing Options below. For Options 2. and 3., you hereby acknowledge and agree to appoint "The Company" (referred to in our Registration Terms and Conditions & Data Protection and Privacy Policy) to act as your Intermediary and Consultant.
AlphaInvestmentBank.com reserves the right to not accept a registration.
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 information on the business for sale.) 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 information on the business for sale.)
3. Do not list my company. (Other members will not be able to access any information about my company.)
N. Membership
Please select a Membership Package.
Annual or Quarterly fee is for each business opportunity you list.
O. 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.