Client Intake

Accepting new Shopify development and online marketing clients looking to scale their businesses

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Title

Legal

Business Name *

Legal Business Name

Business Number *

Business Address *

Address Continued (optional)

City

Province / State

Postal / Zip code

Business Phone *

Billing

How do you expect to pay your invoices?

Select one *

Does your Accounting Department have a form to remit payment?

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Does anyone else need to receive or approve invoices?

Full Name

Email

Signing Authority

Full Name *

Email *

Second signing authority (optional)

Full Name

Email

Account

Who would be the one point of contact for your team?

Full Name *

Job Title

Email *

Phone *

Phone number is for a cell phone? *

Yes

No

Working hours

Expected response time