Please fill out the following brief questionaire and we will respond to your request as quickly as possible. The information you provide will be kept strictly confidential and will not be given nor sold to anyone.

1. Name 

2. Address

3. City, State, ZIP

4. Phone      5. Alternate phone

6. E-mail Address

7. How did you hear about CTC Associates?

8. Would you like us to send you more information?  yes   no

9. If yes, please choose one or more of our publications you would like us to send you:

 25 Essential Issues On Transitioning a Practice
 Practice Transition Flow Chart
 Funding Your Pension Plan with the Value of Your Practice
 Selling Your Practice
 New Found Freedom
 FAQ: Questions to Ask Before You Hire a Practice Broker/Consultant
 Do It Right the First Time: A Buyer's Guide
 Buyer's Application

(note: for descriptions of the above publications, or to download in Adobe Acrobat format, please refer to our downloads page.)

10. Would you like someone to contact you?  yes   no

11. If yes, how would you like us to contact you? Phone (day) Phone (night) e-mail US Mail
 
(Please provide contact information above.)

11. Other questions or comments:

  Please hit the 'Submit' button once. Your response will automatically be sent to us via e-mail.