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Name
Business Name
*
Industry
*
What do you sell? What are you sources of revenue?
*
Annual Revenue?
*
Under $100,000
$100,000-$500,000
$500,001-$1,000,000
$1,000,001-$3,000,000
Over $3,000,000
Number of Employees?
*
1
2-5
6-10
10-20
Over 20
What are your biggest challenges right now?
*
Tell Us About Your Current Bookkeeper
Who currently keeps your books?
Myself
An employee without accounting experience
An employee with accounting experience
An outside bookkeeper
Other
Do you think you require any cleanup or catchup work?
*
Yes
No
Other
Is there anything else you want us to know about the state of your books?
Tell Us About Your Current Accounting Systems
What accounting software are you using?
*
QuickBooks Online
Xero
QuickBooks Desktop
Other
What are you using to pay your bills?
Handwritten checks
My bank's online billpay
Credit cards
Bill.com
Other
First Name
*
Phone
*
Title
*
Best Time to Call
How did you hear about us?
*
Last Name
*
