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VersaSolve Client-Intake Form
NE
* Indicates required question
Email
*
Record my email address with my response
What is your full name?
*
Your answer
What is your email?
*
Your answer
What is the name of your business/organization, and what industry are you in?
*
Your answer
What are your primary business challenges or goals?
*
Brand Awareness
Website & Digital Presence
SEO & Online Traffic
Funding & Grant Support
Community Partnership
Required
Which specific service(s) are you interested in?
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Website Creation & Branding
Promotional Video
SEO & Digital Marketing
Grant Writing & Project Management
Strategic Partnerships & Community Engagement
What is your estimated budget for this project?
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Your answer
What is your estimated budget for this project?
*
$0 - $1,000
$1,000 - $2,500
$2,500 - $5,000
$5,000+
What is your preferred timeline for completing this project?
*
Within 1 Month
1-3 Months
3-6 Months
Flexible, Not Urgent
Send me a copy of my responses.
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