Registration Form

Tel: 01702 551334 /5
Fax: 01702 554253

3 Hadleigh Business Centre,
351 London Road,
Hadleigh, Essex,
SS7 2BT

If you wish to be registered onto our mailing list to receive particulars on new businesses as they become for sale with our agency, we require you to complete and submit this questionnaire. By returning this form it will enable us to match businesses with your requirements and subject to status and our clients consent, we will make appointments for you to inspect the businesses. Unfortunately we will be unable to make appointments for you and addresses will not be supplied until we have received this form fully completed and signed.

Please answer as many of the questions as possible since it will help us to help you with your requirements.

Personal Details	Please complete all required fields (marked by *).
Title *
First Name *
Last Name *

Address Line 1. *
Address Line 2.
Town/Village *
County *
Post Code *

Home Tel.
Mobile Tel.
Work Tel.

Fax No.
E mail Address

Send details via (select required)

Personal Requirements	Please specify your areas of interest.
Lease Type
Location
Minimum Turnover
Living Accommodation Required?
If yes how how many bedrooms?
Price Range	�
Any other Requirements/Queries
Business Type	Select all business types that interest you.

Viewing Agreement

Please complete this section if you will require viewing any of our clients businesses or requiring addresses of the businesses. For our client's security we will require a form of identification (i.e.:-Passport, Drivers Licence, Utility Bill). We recommend this questionnaire be returned upon receipt of the first particulars received to avoid any delay in making future appointments.

Previous business experience

Have you ever owned a business?

If yes what type?

Deposit available to finance
purchase (not equity).

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If required do you have equity in a property that a loan could be secured upon?

If yes how much?

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If required do you have finance arranged for the purchase?

If yes with whom?

Do you have a property to sell before buying?

Name, details and postcode of any other party that will be attending appointments with you.

I agree to the terms below

Applicants acceptance of terms

I/We confirm that my/our details on this form are correct and complete and that at no time will any sales details or confidential information, including business address or accounts be passed on to any person or company without prior authorisation from Bradleys Countrywide. I/We understand that if at any time I/We enter into or are party to any negotiations or actions which seek to preclude or are contrary to the interests of Bradleys Countrywide and losses are incurred by Bradleys Countrywide by my/our action or inaction these losses may be recovered by Bradleys Countrywide from me/us as damages, these losses include but are not limited to the full amounts of any commission and/or charges, any interest payable caused by delayed settlement, any overhead costs and any court or debt recovery costs.

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