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17
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1
First Name
*
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2
Last Name
*
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3
Business Name
*
This field is required.
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4
Email
*
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example@example.com
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5
Phone Number
*
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6
What is the annual revenue of your business?
*
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$0 - $200,000
$200,000 - $500,000
$500,000 - $1 Million
$1 Million and above
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7
What is your monthly accounting budget?
*
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$500 - $1,000
$1,000 - $1,500
$1,500 - $2,000
$2,000+
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8
Type of Business:
*
This field is required.
Please Select
Service
Retail
Manufacturing
Wholesale
Other
Please Select
Please Select
Service
Retail
Manufacturing
Wholesale
Other
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9
When did you start your business?
*
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-
Date
Month
Day
Year
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10
Do you currently work with an accountant?
*
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Yes
No
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11
What services does your accountant perform for you?
*
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12
How often do you talk to (or see) your accountant?
*
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Please Select
Monthly
Quarterly
Annually
Other
Please Select
Please Select
Monthly
Quarterly
Annually
Other
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13
Does your accountant help you with decisions that promote and build your business?
*
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14
What are you looking for when it comes to accounting services?
*
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15
Which services are you most interested in?
*
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Tax Planning
Compliance
Guidance/Consultation
Financial Statements
Other
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16
How did you hear about us?
*
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17
Is there anything else you would like us to know?
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