Tell Us About Yourself
* First Name:
* Last Name:
Name of Business:
Business Address:
* Phone Number:
* Email address:
* Confirm Email address:
Please complete to help us better serve you
Are you/your business a(n)
Select One
Individual
Sole Proprietor
Partnership
C Corporation
S Corporation
LLC
LLP
Non-Profit
Government Agency
Not sure
Accounting Services wanted (Select as many as you need)
Audit of Financial Statements
Review of Financial Statements
Preparation of Financial Statements
Estate and Trusts
Small Business Accounting
Tax Preparation – Business
Tax Preparation – Individual
Tax Consultation
Business Consultation
Finance Review
None of the above
Not sure
Revenue or Salary Last Year
Select One
$0 - $75,000
$75,000 - $150,000
$150,000 - $250,000
$250,000 - $500,000
$500,000 – $1,000,000
$1,000,000 - $2,000,000
$2,000,000 - $3,000,000
$3,000,000 - $5,000,000
$5,000,000 - $10,000,000
$10,000,000 - $25,000,000
$10,000,000 - $25,000,000
$50,000,000 +
Number of Employee(s)
Select One
0
1 - 3
4 - 10
11 - 20
21 - 30
31 - 40
41 - 50
50 - 100
100 +
What are you currently paying in accounting fees per year?
Select One
$0 - $250
$251- $350
$351 - $500
$501 - $750
Ac
$751 – $1,000
$1,0001 - $2,500
$2,501 - $5,000
$5,001 - $10,000
$10,001 - $25,000
$25,001 - $50,000
$50,000 +
What do you think you should be paying in accounting fees per year?
Select One
Less than what I’m paying now
About the same as what I’m paying now
Expecting to pay more
Not sure
What do you want in an accountant?
What problems are you having with your current one?
Best way to contact you (select one)
Phone
Email