Client Intake Form

New Client Intake Form
Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Type of Business
Are you the majority stakeholder in your business?
By checking the box below, the parties agree to the use of electronic signature. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability and admissibility.
I agree to the usage of electronic signature.
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