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New Client-Business Intake Form
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New Client Business Intake Form
Business Name
Contact Name
Business Phone
Business Email
Services Request (Check All That Apply)
Business Tax Preparation
Business Tax Planning
Cash Management & Budgeting
Onpay Payroll Setup
Audit Representation
IRS Collection Representation
AR/Invoice Management
AP/ Check Writing Bill Payment
Point of Sale (POS) System
Inventory Management
Business Financial Statement Preparation
New Business Setup
Website/ e-Commerce Setup
Mobile App Development
Business Loans Application/Consulting
Life Insurance for Business Owners
Retirement Planning (SEP & 401K)
Health Insurance (Group Health Plan)
Health Reimbursement Plan Docs
Business Consulting/Coaching
Other Tax Preparation
Other Tax Preparation/Services (Please Describe)
I Agree
By submitting this form, I authorize SHALOM to create a personal and/or business profile for me in their secure, cloud-based system. I understand that communication will be conducted via the SHALOM client portal, and that the type of service I request will determine which system(s) I will have access to. All systems follow security protocols in accordance with applicable laws and regulations. I understand that some services are offered at a flat rate and must be ordered through SHALOM’s online service request link. This process ensures I receive all necessary instructions and requirements related to the requested service. For services not offered at a flat rate or not available through the online store, I may request an estimate before work begins. These services may be billed under SHALOM’s standard hourly rate of $125 per hour. I understand that SHALOM may require a deposit before beginning any billable work. Based on the nature of the services requested, I may also be asked to sign an engagement agreement and complete additional forms before services can begin. By submitting this form, I acknowledge and agree to these terms.
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