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New Client Intake Form
Name
*
Name
First
First
Last
Last
Email
*
Phone
*
Legal Business Name
*
Address
*
Address
Address
Address
City
City
State/Province
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Arizona
California
Colorado
Connecticut
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District of Columbia
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Texas
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State/Province
Zip/Postal
Zip/Postal
Type of Business
*
Sole proprietorship
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Corporation - S corp
Corporation - B corp
Corporation - Nonprofit
Are you the majority stakeholder in your business?
*
Yes
No
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.
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Yes
Digital Signature
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