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Client Intake Form

Please fill this form out  for us to better understand and serve your business needs !

Your Name*

Your Email Address*

Your Phone Number

Tell us About Your Business

Select Your Business Industry

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What are your Business Objectives?

Who are your Targeted Customers?

Describe The Purpose of the Business

Date Company Formed

In which state was the company formed in ?

Does Your Business have a legal structure ?

Does Your Business have a social media page, or website ?

Does your Business have a EIN Number ? If so list below

What date are you best available to be reached ?

What time is the best time to reach you ?

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