mod-01

Name*

First Last

CONTACT EMAIL*

PHONE

WEBSITE

BUSINESS NAME*

PREFERRED METHOD OF CONTACT?*

HOW DID YOU HEAR ABOUT US?

HOW LONG HAS YOUR DESIGN BUSINESS BEEN IN EXISTENCE?*

WHY ARE YOU LOOKING FOR A CPA?*

WHAT WAS YOUR GROSS REVENUE LAST YEAR?*

WHAT KIND OF SERVICES ARE YOU POTENTIALLY INTERESTED IN?*

AS A BUSINESS OWNER, WHICH OF THE FOLLOWING WOULD PROVIDE THE MOST VALUE TO YOU?*

IMAGINE YOUR BUSINESS IN THREE YEARS. WHAT ITEM WOULD MATCH YOUR GOAL?

ADDITIONAL NOTES/COMMENTS

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