In This Section:

Application

* denotes required field

Basic Information

* Legal Name of Firm:
* Email:
* Phone:
FAX #:
* Website:

Primary Address

* Street:
Street(cont.):
* City:
* State / Province:
* Postal:

Primary Firm Contact

* First Name:
* Last Name:
* Direct Phone #:
* Does applicant operate as:

Principals/Shareholders +

* First Name:

* Last Name:

* Position:

Firm Information

*Is firm owned by, associated with or controlled by any other business?

*What geographic market area does the firm service?

*Provide the number of your staff in each area.
	Partners	Technical	Support
Litigation & BV:
All Other Practice Areas:

Comments & Licenses

Comments:

Please provide the number of professional licenses and designations earned by the entire staff (not memberships):

CPA:

ABV:

AM:

ASA:

AVA:

BVAL:

CBA:

CFA:

CFE:

CFF:

CFFA:

CVA:

FASA:

JD:

MCBA:

* Has any shareholder or partner had a license or designation revoked or suspended?

Financial Information

Please complete Revenue Analysis Schedule regarding sources of revenue.

The information you supply to FCG is kept confidential. No one has access to this information except for the individuals who compile our corporate data.

* Valuations – Businesses, Intellectual Property, Litigation, Tax, Financial Reporting etc.
* Litigation – Commercial Damages, Investigative/Forensic Accounting, Asset Tracing, etc.
* All Other Services – e.g. Accounting, Tax, Consulting, etc

Terms & Conditions

I/WE HEREBY DECLARE that the above statements, estimates, and particulars are true. I/we acknowledge that providing false or misleading information is grounds for immediate rejection of this application, or if discovered later, is grounds for expulsion from The Financial Consulting Group.

I/WE ACKNOWLEDGE that members are accepted based upon factors such as: geographic location, professional competence and reputation, nature of the firm’s client profile, potential for providing referrals between members, and industry specialization and that The Financial Consulting Group is not obligated to provide reasons why an application is rejected.