NEW CUSTOMER REGISTRATION FORM

NEW TAX CLIENT INTAKE FORM

Get the max back with Top Tier Refunds. We promise to make this your BEST tax season yet!
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number*
Can you receive text messages at this number? We send only 2-3 texts out each tax season to help keep you updated.

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Email Address
example@example.com
How did you hear about us?*
Are you a U. S. Veteran, First Responder, or Teacher? If you select yes, you can save money on tax prep fees when filing with Top Tier Refunds.

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Other*
Will you be willing to recommend us?

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We pay $100 per referral! Please give reference of any two people whom you feel deserve extraordinary customer care this tax season.

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Choose your preferred Tax Professional you would like to work with this tax season.
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NEW TAX CLIENT INTAKE FORM