Client Intake Form
Welcome!
We're so excited to begin our partnership with you! To ensure we have the information we need to best serve you, please take a few moments to fill out the form below. If you have any questions, please feel free to contact us at any time. Thank you!
Contact Information
POINT PERSON
First Name
Last Name
TITLE & DEPARTMENT
EMAIL
example@example.com
PHONE NUMBER
-
Area Code
Phone Number
PREFERRED CONTACT METHOD
Phone
Email
Text
Instant Message
Other
CONTACT FOR SPECIFIC IT SERVICES
Data Center Operations
Inventory
Consultancy
IT Support
Logistic
Other
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Your Company Details
Company Information
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
HOURS OF OPERATION
DAYS OF OPERATION
Mon
Tue
Wed
Thu
Fri
Sat
Sun
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Invoice & Payment Terms
Billing Information
ACCOUNTING POINT PERSON
First Name
Last Name
EMAIL
example@example.com
PHONE NUMBER
-
Area Code
Phone Number
BILLING CYCLES
Net 15
Net 30
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Additional Company information
Resources
COMPANY WEBSITE
File Upload
Browse Files
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of
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