AAIME - Embed Sign Up Form (Cards)

1
Name* This field is required.
Mr.
Mr.
Mrs.
Ms.
Prefix
First Name
Last Name
2
Email* This field is required.
example@example.com
Confirm Email
3
Phone Number* This field is required.
Area Code
Phone Number
4
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Were you Referred to AAIME by a Friend or Colleague?* This field is required.
YESNO
6
Name of Referrer
First Name
Last Name
7
Company Name* This field is required.
8
Company Industry* This field is required.
Accommodation and Food Services
Administration, Business Support and Waste Management Services
Advisory and Financial Services
Agriculture, Forestry, Fishing and Hunting
Arts, Entertainment and Recreation
Business Franchises
Construction
Consumer Goods and Services
Educational Services
Finance and Insurance
Healthcare and Social Assistance
Industrial Machinery, Gas and Chemicals
Information
Life Sciences
Manufacturing
Mining
Online Retail
Other Services (except Public Administration)
Professional, Scientific and Technical Services
Real Estate and Rental and Leasing
Retail Market Reports
Retail Trade
Specialist Engineering, Infrastructure and Contractors
Technology
Transportation and Warehousing
Utilities
Wholesale Trade
9
How Long has your Business Been Operating?* This field is required.
Company Is Not Yet Officially Registered
Registered Within The Last Year
1-2 Years In Business
2-5 Years In Business
5-10 Years In Business
10 Or More Years In Business
10
What is your Official Role Within the Company?
11
Please use this section to share what you want your business to accomplish over the next two years. Our goal is for you to operate your business without stress. What does that mean to you?
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12
Business SetupCheck each section below that you may need assistance with. We're ready to help you!
Business License or Registration
Independent Contractor Inquiry
Non-Disclosure Agreement
Incorporation
Employees or Payroll Inquiry
Certify a Minority, Woman-Owned, or Disadvantaged Business
13
MarketingCheck each section below that you may need assistance with. We're ready to help you!
Sales Promotion
Referrals
Networking
Printing
Direct Mail
Advertising
Direct Sales
14
Business PlanningCheck each section below that you may need assistance with. We're ready to help you!
Business Plan
Marketing Plan
Grant Proposal
15
Data ManagementCheck each section below that you may need assistance with. We're ready to help you!
Bookkeeping
Receipts
Contact Details
16
Business Finances and AccountingCheck each section below that you may need assistance with. We're ready to help you!
Financial Statements
Marginal Cost and Profit Management
Credit Cleanup
Cash Flow Management
17
Non-ProfitsCheck each section below that you may need assistance with. We're ready to help you!
Incorporation and/or Registration
501(c)3 Application
Tax Exemption
Grant Proposal
18
TaxesCheck each section below that you may need assistance with. We're ready to help you!
Inquiries/Letter I Received
Tax Preparation
Problems
Planning
19
Are there any other business inquiries you would like to discuss with an AAIME representative?
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20
Upload any relevant files you would like us to take a look at
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