Buyer Registration

Please fill out the form to register as a Buyer. Already registered? Click here to log in.

1Create Your Account

2Personal Information

3Education and Experience

4Buyer Considerations

5Legal Considerations

Name*
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Email*
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Type of Practice Opportunity you're seeking*
If you are a DSO, please list what organization you are with.*
Currently bound by Non Compete?*
Approximately how much is the operative production with your current employer?*
Have you ever owned a Dental Practice?*
What type of buyer are you?*
Region most Desired - 1st Choice?*
Region most Desired - 2nd Choice?*
Do you have a particular area in Virginia in which you would like to own a practice in?*
Do you have a preferred 2nd area in Virginia in which you would like to own a practice?*
What type of environment would you like to most practice in?*
How flexible are you on location? (1-not at all, 10-extremely)
Please enter a number from 1 to 10.
What are your hobbies?

What do you estimate your FICO score to be? (We recommend myfico.com, as a secure way to find this, however Experian score will suffice).*
Have you pre-qualified to purchase a dental practice by a specific Dental lender?*
If you have been pre-approved, which lender?*
If you have been pre-approved, how much have you been pre-qualified for?*
Attorney First Name*
Attorney Last Name*
Attorney Email*
Attorney Phone*
CPA First Name*
CPA Last Name*
CPA Email*
CPA Phone*
Confidentiality Agreement
By submitting this electronic form, I hereby agree not to disclose the name or circumstances of any parties introduced by Commonwealth Transitions LLC. I agree that all information provided by Commonwealth Transitions LLC regarding Dental practice opportunities is confidential and I hereby agree not to disclose to anyone or to make copies of any of the information, ideas, procedures, programs, concepts, contract and/or other data conveyed and entrusted by Commonwealth Transition LLC without the prior written consent of Commonwealth Transitions LLC. In addition, Commonwealth Transitions LLC and the Seller request that any projections, calculations, descriptions, and tangible material given will be immediately returned to Commonwealth Transitions LLC and/or destroyed. When a visit is coordinated between a buyer and a seller/client, Commonwealth Transition LLC requires feedback from prospective buyers on the visit out of respect to our seller/client and to ensure the best possible experience for all. I acknowledge and agree that any and all direct communications with seller and/or legal clients of Commonwealth Transition LLC must be approved and acknowledged by Commonwealth Transition LLC beginning from the initial introduction through closing. By submitting this form, I agree to the above terms, and acknowledge this will be considered equivalent to a signature. I consent to receiving updates on new listings via text and email campaigns from Commonwealth Transitions. I understand that standard data rates may apply to text messages sent from Commonwealth Transitions. I understand that I can expect anywhere from 3-10 text messages per month from Commonwealth Transitions. To opt out of this service please email info@commonwealthtransitions.com to be removed from our Marketing list.
I have read and agree to the Confidentiality and Consent Agreement.*
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Buyer Registration

Buyer Registration

Confidentiality Agreement

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