What is your name? *

Where do you live? (City, State) *

What is your e-mail address? *

What is your phone number? *

What type of business is it? *

Who owns the business? *

How is the business structured? *

How long have you been in business for? *

Is the business home-based? *

Do you have employees? *

How do you keep track of income and expenses? *

Why are you looking for a new accountant? *

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