Thank you for your interest in joining NCFTN's Professional Referral Network. Please fill out and submit the form below. Your information will allow us to refer to you potential clients in need of professional advice on their business succession and transition planning.

PLEASE READ AND AGREE BY CLICKING THE SUBMIT BUTTON:

I give permission to North Carolina Farm Transition Network, Inc. to release my name, address, phone number, and any other information given in this questionnaire to persons who may be interested in securing my services.

I understand that North Carolina Farm Transition Network, Inc. does not guarantee that a business relationship will result, nor does North Carolina Farm Transition Network, Inc. take responsibility for any fees owed under any relationship. I will not hold North Carolina Farm Transition Network, Inc. liable for any loss, damage, or injury that may occur as a result of inquiries or interviews related to the match.

This application is correct to the best of my knowlege. I understand that North Carolina Farm Transition Network, Inc. has the right to cancel my listing at any time.