New Business Client Intake Form

New Business Client Intake Form
To better serve our current clients, we are not accepting new clients until Mid-May/ beginning of June. If you'd still like to be a client at that time, please continue filling out this form. There are also links on our website (www.gjcpa.net) to file an extension on your own.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Please choose the best way to contact you

PhoneEmailDoes not matterOther
- Company Name
- Company Website
- Company Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Please briefly explain what your business does.
- Starting date of your company
  
  MonthDayYear
  Date
- Your job title
- Number of employees including you
- Type of Company
  LLC, S-Corp, C-Corp, Partnership
- What service(s) are you wanting from us?
- Your previous CPA and the firm they are with
- Please provide some insight as to why you left your previous CPA
- Additional information we should know
- Please verify that you are human*
- Should be Empty: