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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

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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