Name
*
First Name
Last Name
Business Email
*
Business Phone
*
(###)
###
####
Personal Phone
Business Name and Brief Description
*
Business Type
*
Sole Proprietor
Partnership
LLC
Corporation
B-Corp
S-Corp
501-c3
Last Year's Profit Figures (if applicable)
$0-$10,000
$11,000-$75,000
$76,000-$200,000
$201,000-$500,000
$500,000+
Field
*
If the respective field is not listed, please provide the field below:
Provide a few goals that come to mind when collaborating with a consultant.
Are you a(n)...
*
Start-up
Existing Business Owner
What services are you interested in?
What is your budget?
How did you hear about us?
Linked-In
Word of Mouth
Instagram
Facebook
Google
Let us know any supplementary details to begin the consulting journey.
Pick an estimated date to begin collaborating with Marcy Consulting.
*
MM
DD
YYYY
Meeting Preference
*
Virtual
In-Person
No Preference
Delivery of meeting confirmation:
*
Email
Phone Call
Personal Text Message
What do you order at the local coffee shop?
