ADH Marketing & Consulting-Consultation/Customer In-Take Form 2023
  • Payments are due 24 hours before your scheduled appointment. 
  • Rates as of 8/1/23-12/31/23 
  • (Initial Consultation + Report within 72 hours of the Initial Consultation) 1hr-$165 
  • Initial USDA Administrative Assistance is $175  
  • Admin Services are Flat Rate increments $200 (min 5 hrs.) 
  • Business Consulting/ Coaching Available (upon availability in August/Sept 2023)
  • Grant Writing Assistance is $500 down (Administrative and additional fees will be discussed)
 
PLEASE ANSWER ALL QUESTIONS THOROUGHLY
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Email *
Are you a Start Up or Expanding? *
Name of Business/Profession (write n/a if you have not started a business) *
What services are you looking for? *
Required
Contact Person *
Phone Number & Time Zone *
Address *
Preferred Method of Communication (Chek all that apply) *
Required
What is your expected timeline/length of your immediate needs? *
Please introduce your business/yourself & explain what kind of assistance you are looking for?( Please be specific and use bullet points if needed) *
What kind of funding are you looking for  *
Required
Do you have a Duns and SAM NUMBER *
Do you have a Farm & Tract Number with the Farm Service Agency (FSA) (farmers only) *
Required
Do you have a sufficient Credit Score 630 or better? *
If you answered no, to the last question? Are you willing to receive assistance for improvements? *
Do you have a budget, savings, or business plan prepared before you start this consultation?
Are you on Social Media? (Check all that apply) *
Required
Please list your Social Media Handles.
Do you have a website? If so, please write you website address. (Write no, if you do not have a website. *
What is your availability to connect? *
Required
What time would you be available for a call? (All times are in CST, check all that apply) *
Required
DISCLAIMER: All Loans, Grants, and Financial assistance is NOT GUARENTEED. We will be accountable for giving valid  information and all documentation required will be submitted.  ADH Marketing & Consulting will strive to provide you the resources that you are missing and will advocate for fairness and equality as a consumer. *
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