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Intake form
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Name
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Email address
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What type of technology services are you interested in?
Please select at least one option.
Internet Connectivity
Voice Services
Cybersecurity
AI Solutions
Google Licenses
Microsoft Licenses
What is the size of your company?
Select
1-10 Employees
11-50 Employees
51-200 Employees
201+ Employees
What industry does your company operate in?
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Technology
Healthcare
Finance
Retail
Manufacturing
Education
What is your primary goal for seeking technology consulting?
Please select at least one option.
Improve Efficiency
Enhance Security
Increase Revenue
Reduce Costs
Upgrade Technology
Do you currently have any technology solutions in place?
Select
Yes
No
Preferred method of communication
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Email
Phone
In-person
Video Conference
What is your budget range for technology services?
Select
Less than $1,000
$1,000 - $5,000
$5,000 - $10,000
$10,000 - $50,000
$50,000+
What is your timeline for implementing these services?
Select
Immediately
Within 1 Month
1-3 Months
3-6 Months
6+ Months
Which service or services are you interested in?
Please select at least one option.
Business technology consulting
Cybersecurity solutions
AI integration services
Additional questions or comments
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