Fireside Strategic: Application Form
We buy health and wellness services companies, specializing in group mental health practices. If you've built one, and you share our vision and would like to explore a sale to us, please fill out the form below and we'll begin a conversation. 
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What's your name (first and last)? *
What's your company's website? *
What's your email address? *
What's your phone number? *
Before answering any further questions, please download and sign the mutual NDA here - using Adobe or Word - and email to dan@firesidestrategic.com. Write the word "done" in the short answer text below.  
Why are you interested in potentially working with us? *
What's your annual revenue? *
What's your annual cash flow?
How many practitioners do you employ? *
Anything else you'd like to add?
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