Appraisal Quotation Form All information gathered remains CONFIDENTIAL. We will be pleased to quote our PRACTICE APPRAISAL FEE upon receipt of this information. Appraisal Quotation Form About Your Practice Practice Name * Practice Address * Unit / Suite # City/Town * Province * Province AlbertaBritish ColumbiaSaskatchewanManitobaOntarioQuebecNew BrunswickNova ScotiaPrince Edward IslandNewfoundlandYukon TerritoryNorthwest TerritoriesNunavut Postal Code * Square Footage * # of Operatories/Exam Rooms * # of Operatories/Exam Rooms 012345678910 + # of Associates * # of Associates 012345678910 + Gross Revenue * Gross Revenue Under $500,000$500,000 - $1,000,000$1,000,000 - $1,500,000$1,500,000 - $2,000,000$2,000,000 - $3,000,000$3,000,000 - $5,000,000$5,000,000 and up Do you own the building? * Yes No Are you Incorporated? * Yes No Do you have partners? * Yes No Best time to visit? Best time to visit? Not sureWeekendWeekdaysEvenings Any other relevant information About You Title * Title Dr.Mr.Ms.Mrs. First Name * Last Name * Confidential Phone * Confidential Email * Confidential Address * Unit / Suite City/Town * Province * Province AlbertaBritish ColumbiaSaskatchewanManitobaOntarioQuebecNew BrunswickNova ScotiaPrince Edward IslandNewfoundlandYukon TerritoryNorthwest TerritoriesNunavut Postal Code * Profession * Profession DentalVeterinaryOptometryOther Specialty Other Profession University * Graduation Year * Select an Associate * Select an Associate Any AssociateOntario - Timothy A. BrownOntario - Jackie JoachimOntario - Ann WrightOntario - Bill AltonOntario - Robert MacDonaldOntario - Rob SpillaneOntario - Alexis SweetnamOntario - Amanda KotchieOntario - Doron EisenbergOntario - Roopali KapoorOntario - Constance OlyOntario - Nicholas BoyleOntario - Dr. Drew MarkhamBritish Columbia - Dr. Marcia BoydBritish Columbia - Elliott BroadAlberta - Dr. Wayne RabornAlberta - David RabornAlberta - Karl SchmidtAlberta - Dr. Malar KaliaMN and Sask - Reema SinglaAtlantic Canada - Dr. Jeff WilliamsAtlantic Canada - Dr. Andrew BrysonAtlantic Canada - Dr. Scott GreenQuebec - Pascale GuillonQuebec - Dr. John BadgerOptometry - Lance EdwardsOpto & Vet - Roopali KapoorOther Select an Associate How should we contact you? How should we contact you? EmailPhoneMail Purpose of your Appraisal? * Purpose of your Appraisal? PlanningIncorporationSaleAssociate Buy-inInsuranceMatrimonialOther How did you hear about us? * How did you hear about us? WebsiteGoogleSeminarConventionReferralPast ClientOral HealthOntario DentistJust For Canadian DentistThe Bridge (BC Dental Association)Dental Bits and Bites (Newfoundland Dental)Nova Scotia DentistNew Brunswick BulletinProfitable Practice MagazineUpdater (Alberta)The Capital Examiner (Ottawa)CDSS News (Saskatchewan)MDA Bulletin (Manitoba)Ordre des dentists du QuebecCanadian Vet PracticeFocus (OVMA)Veterinary Practice NewsOther I understand that by clicking Yes, I agree to receive more information from ROI Corporation. Yes No If you are human, leave this field blank. Submit Δ