Investment Assessment
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MAXEXIT
Application & Intent to Proceed
Value Accelerator Program — 15-Month Value Maximization
Section 1 of 3
Contact Information
Tell us about yourself
First Name
*
Last Name
*
Email Address
*
Phone Number
Section 2 of 3
Business Profile
Help us understand your business
Company Name
*
Industry
Annual Revenue
Select range
Under $1M
$1M – $3M
$3M – $5M
$5M – $10M
$10M – $25M
$25M+
Normalized EBITDA
Select range
Under $500K
$500K – $1M
$1M – $2M
$2M – $3M
$3M – $5M
$5M+
Number of Employees
Select range
1 – 10
11 – 25
26 – 50
51 – 100
100+
Years Profitable (last 5)
Select
0
1
2
3
4
5
Are you the owner-operator?
Select
Yes
Partial — I have a management team
No
Section 3 of 3
Program Interest
Tell us about your goals and timing
Target Exit Horizon
Select
1 – 2 years
2 – 3 years
3 – 5 years
5 – 7 years
7+ years
Not sure
Track Preference
Select
1-on-1 Premium Track
Group Track
Not sure yet
Preferred Start Timing
Select
As soon as possible
Next quarter
3 – 6 months
6 – 12 months
Why are you interested in the program?
*
What are your biggest current business challenges?
How did you hear about MaxExit?
Electronic Signature
Sign & Confirm Intent to Proceed
Type your full legal name to sign this application
By signing below, I confirm that the information provided in this application is accurate to the best of my knowledge. I am expressing my intent to proceed with the MaxExit Value Accelerator Program and understand that a member of the MaxExit team will contact me to discuss next steps, including an Executive Briefing call. This signature does not constitute a binding contract or financial commitment.
Full Legal Name
*
Signature Preview
Your signature will appear here
I confirm that I am the person named above, the information in this application is accurate, and I wish to proceed with my application to the MaxExit Value Accelerator Program.
Submit Application
Your information is confidential and will only be reviewed by the MaxExit team.