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New Business Client Information
Fill out this form with basic information about the services your require.
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Full name (First and Surname)
Your answer
Contact number (Business)
Your answer
Contact number (Mobile)
Your answer
Email Address
Your answer
Physical Adddress
Your answer
Name of Business (registered)
Your answer
Date of registration /incorporation
MM
/
DD
/
YYYY
Business Type
Sole trader
Partnership
Limited Liability Company
NGO/Charity
Unregistered business activity
Clear selection
Type of Service required
Digital Marketing
Public Relations
Website Design
Graphics
Strategic Planning and Business Proposals
Business Development Research
Project Management
Virtual Assistant
Organizational restructuring and strategy
Explain what are your challenges, difficulties, sore points ?
Your answer
What are your preferred mode of communication ?
Email
Phone Calls
Zoom/ Skype
Face to Face
Whats app
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