Request for Consulting Services
Thank you for your inquiry regarding Genesis Consulting Group, LLC's services. This form requests basic organizational and project details we need to determine fit and develop a scope of work and proposal. Please be as detailed as possible in your responses. If any item does not apply, please respond "N/A."

We will not, under any circumstances, share your personal information with other individuals or organizations without your permission, including public organizations, corporations or individuals, except when applicable by law.
Name of Organization *
Your answer
Type of Organization *
How did you find out about Genesis Consulting Group? *
Your answer
Full Address of Organization *
Your answer
Website URL
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Social Media Handle(s)
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Contact Name and Title *
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Contact Email Address *
Your answer
Contact Daytime Phone *
Your answer
Number of Full Time Employees *
Your answer
Annual Budget *
Your answer
Year Organization Was Established *
Your answer
Please give us as much information as possible about the type of consulting assistance you are seeking. What is the problem to be solved? How would you determine success? *
Your answer
What, if anything, have you already tried to address this issue? What were the results? *
Your answer
What is your proposed budget and time frame for this project? *
Your answer
What else would you like for us to know? *
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Would you like to receive email newsletters and promotions from Genesis Consulting Group? *
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