Arrange for a FREE, no Obligation, Confidential Consultation

A Certified Business Intermediary can save buyers and business owners money by avoiding costly mistakes. Please take a moment to answer the following questions. All responses will be kept confidential.

*	Your Name:
	Title:
	Company:
*	Address:
*	City:
*	State:
*	Zip Code:
*	Contact Phone:
	Fax:
*	Email:
	Web site URL:
	Referred by:
	Comment or question:
* = Required Field

P. O. Box 6635 Macon, GA 31208-6635 --- 4406 Columbus Rd. Suite A Macon, GA 31206 Phone: 478-477-6272 Fax: 478-477-6273