Non-Circumvention Non-Disclosure Agreement
Corporate Office: 711 W. 17th Ste #J5, Costa Mesa, CA 92627
New York Office: 45, Oriole Way Dix Hills, NY 11746
Phone Number: (888) 277-6633
In order to maintain the confidentiality and integrity of the practice sale, it is necessary to forward an executed and completed Non-Circumvent Non-Disclosure Agreement ("Agreement") to ProMed Financial, Inc. ("ProMed"). Upon receipt, detailed information will be provide for your review. Please complete the entire form so that we can provide all services available through ProMed.
BUYER STATUS
General Information
TERMS AND CONDITIONS
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I have read the Terms & Conditions provided by the company and agree to abide by all the Terms & Conditions as stated in this Agreement.