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Client Intake Form

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

What does your business sell or do?
(Describe what goals you have for your business this year specifically to help us better understand your vision for your business.)
(identify who you want specifically to buy your products or services )
( what is the date the company was established)
Does Your Business have a legal structure ?
(Have you registered your company as a legal business entity in your state?)
(exp. Instagram, Facebook, Linkedin, Twitter?)
*If your business does not have an EIN set up yet please enter social security number instead below..*
*Please select which date Monday through Saturday is best for you *
Please select the best time most convenient for you to talk
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For additional Information on N.A.I.C.S Industry  Codes