Purchaser Acquisition Form

Name: (required)

Email: (required)

Company Name:

Position:

Contact Address: (required)

Contact Postcode: (required)

This is a: (required) Business Address
Home Address

Business Telephone:

Home Telephone:

Fax:

Website:

Present Activities:

Preferred Future Activities:

Bias Towards: Manufacturing
Service
Other (please specify below)

Maximum Expenditure Envisaged: £100,000 - £250,000
£250,000 - £1,000,000
£1,000,000 - £2,000,000
£2,000,000 - £5,000,000
£5,000,000 - £10,000,000
£10,000,000 plus

Preferred Locations: South East
South West
South
West Midlands
East Midlands
East
North East
North West
Wales
Scotland
Ireland
Other (please specify below)

Additional Comments: