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Information Technology-Client Intake Form
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Email
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Your email
Today's Date
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Name
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Contact Number
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Address
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ABOUT YOUR OWN COMPANY
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Name of Company
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Company Website
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Industry (ex: Retail, Manufacturing, Logistics, etc.)
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Annual Gross Income
$0 - $100K
$101K - $250K
$251K - $500K
$501K - $750K
$715K - $1MM
$1MM+
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Number of employees
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What specific goals are you currently hoping to achieve in your business?
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Dollar amount budgeted for these goals
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How did you hear about us?
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