Website Design Intake Form - iCare Technology Geeks

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First Name *

First Name

Last Name *

Last Name

What is your age range? *

What is your gender? *

Your Company Name *

Your Company Email Address *

example@example.com

Your Company Website *

www.iCareTechGeeks.com

Your Business Phone Number *

Area Code Phone Number

How many computers or MACs do you have? *

How many Servers do you have? *

Do you feel like your technology is vital to your business success and growth or just another operating expense? *

Do you have anyone handling your IT Security and Support needs? *

If you answered yes to the question above, are you satisfied? *

What is your estimated annual IT budget? *

What are your primary services or products that you offer in your business? *

What are your biggest Technology or Business challenges that keeps you up late at night before or after the COVID19 pandemic? *

What is the best time for us to Contact You? *

Additional comments *

I would like to receive tips, newsletters, and email marketing information from iCare Technology Geeks, Inc.

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