Newport Exchange

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Thankyou for your enquiry. For a free, no-obligation discussion with a Newport Exchange representative, please complete the following form. The information that you submit is confidential.

Please fill in as much as possible so we can better assist you. We will then call you to discuss the sale of your company.

Selling your Company

For a free, no-obligation discussion with a Newport Exchange representative, please complete the following form.

The information that you submit is confidential. Please fill in as much as possible so we can better assist you. We will then contact you to discuss the sale of your company.

Contact Information:

Contact Name:

* Given Name	* Surname

Your Position:

Your position within your business

Name of Principal:

Principal's name, for purposes of any legal agreements

Trading Name:

Your Trading Name, as listed on the Australian Business Register

ABN/ACN:

Your Australian Business Number or Australian Company Number

Email Address:

* Your password will be sent to this email address

Website Address:

The URL (address) of your website

Login Name:

* This is the name you will use to log in to our system

Password:

Your initial random password will be sent to your email address

Business
Address:

* Mailing address for contact purposes

City	State	Postcode

Contact Phone:

* Primary contact phone number

Alternate Phone:

An alternate contact number

How did you hear about us?

Would you like to receive emails informing you of opportunities that match your needs?
Yes
No

Assuming they have opted-in to marketing material, should this material be sent via email or via surface mail only?
Email Marketing Preferred
Surface Mail Marketing Only

About Your Business:
Your Business is:
In state:
Located at:
Turnover: (last financial year)	Enter the amount of turnover in dollars. This will appear on the 'browse listings' page.
Estimated Sale Price:
Please complete the following to give us an idea of your expectation for a sale price. You can provide a range of dollar amounts, or of revenue multiples. We understand that this figure may just be an estimate on your part.
Agreed List Price: (Required!)	For the purpose of the Agency Agreement, you need to nominate an acceptable price (in dollars) at which we can list the business.
Sale Price Estimate: (dollar amount)	From: To: Complete both fields to show a price range in dollars.
Sale Price Estimate: (revenue multiple)	From: To: Complete both fields to show a range of revenue multiples.
Special Conditions - If there are any special conditions to be considered, please describe them briefly (250 words or less).

Additional Information:
Supporting Information:	New file: (Use this to upload any file we might need to support your enquiry)

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