Intake Form | Better Business Blue

Client Intake Form

Please take a moment to fill out the form.

First Name

Last Name

Phone

Subject

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Home Address

Home Address Line 2

City

Region/State/Province

Postal / Zip code

Company

Position

Birthday

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Business Address

Business Address Line 2

City

Region/State/Province

Postal / Zip code

EIN Number

Business Type e.g LLC, Sole Proprietorship, Partnership, LLP, C Corp, S Corp, Nonprofit

Ethnicity

Are you a US Citizen and legally authorized to own a business in the United States? Yes/No

Does your business meet the requirement of disadvantage business? eg Minority owned, Small disadvantage, veterans owned, women owned etc.

Business Owners Names

Social Security

Your Signature

Select a date

I agree to the terms & conditions that the information provided on this form is accurate. Better Business Blueprint is not responsible for any false information. Better Business Blueprint has a strict no refund policy. I understand that my business information may be shared with third party companies that will assist in services for my business. Better Business Blueprint agrees to use client information for business purposes only.

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