ADH Marketing & Consulting-Consultation/Customer In-Take Form 2023
  • Payments are due 24 hours before your scheduled appointment. 
  • Rates as of 1/1/23-5/31/23 (Initial Consultation + Report within 72 hours of the Initial Consultation) 1hr-$125-$175 
  • Initial USDA Administrative Assistance is $175  
  • Additional Admin Services are Flat Rate $200 (min 5 hrs) 
  • Follow up Consulting Available (upon availability)
 
PLEASE ANSWER ALL QUESTIONS THOROUGHLY
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Email *
Untitled Title
Are you a Start Up or Expanding? *
Contact Person *
Name of Business/Profession *
Phone Number & Time Zone *
Address *
Preferred Method of Communication (Chek all that apply) *
Required
What is your expected timeline/length of your immediate needs? *
Please introduce your business/yourself & explain what kind of assistance you are looking for?( Please be specific and use bullet points if needed) *
What kind of funding are you looking for 
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Do you have a Farm & Tract Number with the Farm Service Agency (FSA) *
Required
Do you have a Duns and SAM NUMBER *
Do you have a sufficient Credit Score 630 or better? *
If you answered no, to the last question? Are you willing to receive assistance for improvements? *
Do you have a budget, savings, or business plan prepared before you start this consultation?
Are you on Social Media? (Check all that apply) *
Required
Please list your Social Media Handles.
What is your availability to connect? *
Required
What time would you be available for a call? (All times are in CST, check all that apply) *
Required
DISCLAIMER: All Loans, Grants, and Financial assistance is NOT GUARENTEED. We will be accountable for giving valid  information and all documentation required will be submitted.  ADH Marketing & Consulting will strive to provide you the resources that you are missing and will advocate for fairness and equality as a consumer. *
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