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* 1. Are you actively working on an ownership succession plan?

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* 2. Are you planning to transition your business within the next 3-5 years?

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* 3. Are you interested in attending a seminar to discuss the following issues and more?
(The event would be held at our offices - 800 E. 96th Street, Suite 150, Indianapolis, IN 46240 - in late 2014. Event details to come.)

  Yes No
Sale to a third party?
Family succession?
ESOPs as a business succession tool?

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* 4. Please provide any additional comments.

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* 5. Should we need to contact you, please provide the following information.

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