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Client Intake Form

About you

First Name (Name) *

Last Name (Surname) *

Email Address *

Phone *

Your Timezone *

Best Time to Contact You *

About your Business

Business Name

Year business was established

Type of Business

Business Category

Country / Region

Province / State

City

Street Address

Postal Code / Zip Code

Skype ID

Company Website *

Business WebsiteI do not have a website.

Domain

About your Services

What is your main product(s) and service(s)?

What do you consider as a Success to this project?

About you and your Company

Please complete a 140-character Bio/Description of your business/services.

I will write it.I prefer you to call me and then produce copywriting for me.

Write your Bio / Description here

Please complete a one-paragraph bio for yourself

I will write it.I prefer you to call me and then produce copywriting for me.

Write your Bio / Description here

Please send your images, documents and videos for the required project

I have them and will send them.I require design and media services to be provided.

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Toronto, Ontario, M3H 0A1

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