Quantum VA request - Expression of interest

Quantum VA

Expression of interest

Company detail
Business Owner

First NameLast Name
VA estimated start date

MonthDayYear
Date
E-mail
example@example.com
Phone Number
Please enter a valid phone number.
Business Details

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
About you and your business
What service do you provide

Do you require more than one VA?
Additional Business Details

Owner Name Last Name
Business Name
What type of service does this business provide ?
Please select from one of the monthly plans to have a VA
What time do you need your VA to start

Hour Minutes

AM/PM Option
What time do you need your VA to finish

Hour Minutes

AM/PM Option
What type of Administrative task do you require our VA to perform ?
Please provide any additional information about your request
Who will be responsible to provide these task and confirm work within your company
Company 1- Full name /Email / Phone
Company 2 - Full name / Email /Phone
Who will be billed monthly for our VA/ S

First NameLast Name
Name

First NameLast Name
Email
example@example.com
Emergency contact

First NameLast Name
Emergency ( additional ) Email
example@example.com
Phone Number
Please enter a valid phone number.
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I agree that all the information provided in this form is to be true and accurate to my knowledge and understanding.

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Please note

This is not your final service agreement , should a Quantum Virtual Assistant be recommended from the information you have provided - Quantum will contact you to arrange initial meeting with the potential VA. Once both parties have accepted, a Service agreement will be provided to the company requesting a VA to be signed up. Once this is completed Quantum will invoice the initial fee and submit profile, start date and provide the VA with initial support to get started with you. Please note that there is a set up fee of $500 aud. This fee includes the set up cost to source and get your VA job ready. All monthly payments are required a month in advance with a minimum of 6 months agreement. Late payment incur a $50 penalty.
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Quantum VA

About you and your business

Please note