Client Intake Form
Greetings! Thank you for your interest in becoming a client of Elements of ME, LLC (Maranda Evans)/Victorian Publishing, Inc., or Evans Financial Solutions. Please complete the client intake form below so we can better serve your needs. If you have any questions, please feel free to contact us at info@marandaevans.com or via phone at 281-543-6915. For writing clients, please email info@victorianpublishing.com
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Today's Date *
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Name *
Phone Number *
Email *
Business Name (if applicable)
Business Type (if applicable)
Options are Non-profit, LLC, LLP, Partnership, Corporation (C or S), Sole-Proprietorship
EIN Number (if applicable)
Do you currently have a separate business banking account? (if applicable)
Clear selection
Assessment Questions
Please use the following to select the services you need. Answers may be changed after consultation.
Which services are you in need of? *
Required
What specific writing services are you in need of?
For writing services clients only.
Do you currently have an idea of what genre of book you want to write or have written? If so, please briefly explain below.
For writing services clients only.
What is your expected release date for your book?
For writing services clients only. This will help with timeline creation. People often choose release dates that are significant in meaning.
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What specific accounting services are you need of?
For accounting clients only.
What business formation services are you in need of?
For business start-up or accounting clients.
How did you hear about us? *
Disclaimer: PLEASE READ *
By checking "yes" below, I understand that all services are associated with a fee or charge, whether it be one-time, monthly, quarterly, or yearly. Each client is allowed ONE free 30-minute consultation. I understand that payment must be made on the due date stated on my invoice and late fees will be charged after 3 days. Costs vary by each service/client. I understand that 50% will be due before project begins and the remainder will be due upon completion (for one-time or writing clients). This rule may be changed at anytime. I understand that Elements of ME, LLC, Victorian Publishing, Inc., or Evans Bookkeeping will hold completed services until payment is rendered. If there are any questions regarding this statement, please enter them in the "other" section for further discussion.
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