Client Data Collection Form for Service Quote

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* 1. Full Name

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* 2. Email Address

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* 3. Phone Number

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* 4. Organization Name (if applicable):

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* 5. Organization Address (if applicable):

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* 6. Please describe your organization, including the number of current employees (if applicable):

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* 7. Type of Service Requested:

Small/Medium-Sized Business Services

Government/Nonprofit Entity Services

Entrepreneur Services

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* 8. Which of the following services would you or your organization be interested in:

Data Visualization - Dynamic dashboards, report analytics, etc.

Predictive Analytics - Financial/operational projections, etc.

Financial Consulting

Process Improvement

Digital Transformation - Digitizing processes and documents, automation, etc.

Policy Analysis

Strategic Planning

Budget & Cost Optimization

Small Business Launching

Startup Business Toolkits

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* 9. Please describe, in as much detail as possible, the services you or your organization are requesting. Providing more detail will allow me to generate a more accurate quote for potential services.

Client Data Collection Form for Service Quote

Question Title

* 1. Full Name

Question Title

* 2. Email Address

Question Title

* 3. Phone Number

Question Title

* 4. Organization Name (if applicable):

Question Title

* 5. Organization Address (if applicable):

Question Title

* 6. Please describe your organization, including the number of current employees (if applicable):

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* 7. Type of Service Requested:

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* 8. Which of the following services would you or your organization be interested in:

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* 9. Please describe, in as much detail as possible, the services you or your organization are requesting. Providing more detail will allow me to generate a more accurate quote for potential services.

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* 10. Anticipated Budget for the Project: