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Name        First   Last Contact Info     Ph:     Email: How did you hear about B&CV? Looking For:    Restaurant / Bar      Bar/ Nightclub      Cafe/Deli                           Pizza/Carryout         Commercial Property                           Retail Store              Gas Station         Service Business                           Manufacturing/ Distribution             Other Reason for acquiring a business: Have you owned a business before?  Yes  No Prior business experience / education Preferred Geographic Location Desired date to take possession: What is the Maximum amount you have allocated for a Down Payment?                         Have you worked with someone from our office? Yes No     If yes who?  Jerry Blumenthal Nick Courtalis Nick Mitsos Don Friedman Dawn Brotzman Paul Adler Donnie Marino Joe DeSantis other Best time to contact you