Client Form Initial Client Intake Form Please enable JavaScript in your browser to complete this form.Company Name (if applicable)WebsiteYour Name *FirstLastTitleWhat is your role with the company?Email *We will not spam you and never sell customer information. Phone NumberThe only call you will get is the one requested.Individual Service Type Desired - Select all that applyBudgeting CoachCredit RepairCredit Repair CoachingLife CoachingTax PreparationTax Preparation CoachingResume CreationResume & Interview CoachingNotaryOther*If there is an asterisk (*) next to your selected service type, you should elaborate below. Yes, we can offer these individual services to groups! Mark the group session checkbox in the business services section below.Other:What additional service is needed that may not be listed above?Business Service or Project Type - Select all that applyWebsite/Application Assessment*Search Engine Optimization (SEO)Basic Website Creation (Level 1)*Website Creation (Level 2)*Custom Website Creation (Level 3)*Website or Mobile Application Redesign/Page Add-on/UpgradeBasic Mobile Application (App) Creation (Level 1)*Mobile Application (App) Creation (Level 2)*Mobile Application (App) Creation (Level 3)*Website User Interface Design ConceptWebsite User Experience (UX) DesignTax PreparationMarketing, Branding or Advertising Strategy PlanningMarketing, Branding or Advertising ConsultationMarketing, Branding or Advertising ManagementNotaryGroup/Organizational Sessions*Other*If there is an asterisk (*) next to your selected service type, you should elaborate below.Please give as many details as you can below about your project. Describe the service that you require but is not listed. *Giving us as much information as you can regarding your project, helps to make our time together more productive. Tell us about the vision you have for your project. Explain if you have already started to compile any data and materials such as images for your website or a logo. If you require a service such as website creation, explain if you have the domain and host already. What are your requirements and desired functionality for your site? Do you want to sell something on your site? Is this a customer facing site or is it for employee usage only? Let us know if your application should be suitable for both the Android and iOS platforms. All information provided will be kept confidential.How did you find Zero Waste Tea?YelpRecommended by an individual*Recommended by another company or website*Google SearchLinkedInInstagramFacebookProfessionally Personal*Other*Other Referral SourceName the person, business or other entity that helped to connect us. If you are a Professionally Personal reader, what is your user name? Your membership will be upgraded!Tap to select your preferred method of contactCall meVideo chat on ZoomVideo chat on Google MeetVideo chat on WebExVideo chat on Facebook MessengerVideo chat on InstagramEmail meThis will be a quick chat to clarify your project and schedule any possible next steps.Total Estimated Budget *$50 - $100$101 - $500$501 - $1,000$1,001 - $5,000$5,001 - $10,000$10,001 - $50,000$50,001 - $100,000$100,001 - $500,000$500,001+PhoneLet's discuss my project!