Change of Ownership Request: New Owner

Please complete and submit the form below if you are the purchasing party/new owner of an entity that is being purchased and you would like to retain existing Pivotal Group accounts and member benefits.

If you have any questions about the required form fields below, please contact support@trypivotal.com for assistance.

New Owner: Main Contact Name*
First Last
Former Entity Name*
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
New Ownership: Entity/LLC/Corporation Name*
DBA Name*
Effective Date*
MM slash DD slash YYYY
Do you require a W9 form provided by Pivotal Group?*
- No
- Yes
Pivotal Group Member Agreement*
I agree to Pivotal Group's Membership Agreement
Non-Disclosure Agreement*
I agree to Pivotal Group's Non-Disclosure Agreement
Change of Ownership Consent*
I agree to the Change of Ownership Confirmation.
The new owner listed above acknowledges that they are assuming ownership of the entity above at the above-listed address.

This location/business will operate under the ownership of the new entity & DBA name listed above.

I understand that I am ultimately responsible for updating all payment information and ensuring that all invoices and account balances are paid.