CLIENT INTAKE FORM

New clients, please fill out this brief form:

Name *

First

Last

Email *

What is your industry and how does your product/service help your customer? *

Who is your ideal client? ex: Entrepreneurs, Beauty Clientele, Fitness, etc *

What is your target location? (If a local business, just list the address. If multiple cities, just list the cities your targeting) *

Only give the username(s) & password(s) that are applicable with the platform I'm managing: What is your Instagram/Facebook/Youtube/Twitter/Pinterest : Username & Password (I promise to keep this information safe) *

Scheduling apps require authentication from FB to schedule Instagram posts. To Learn more about why i need your Facebook username and password to post to Instagram copy/paste this link: https://faq.buffer.com/article/959-publish-instagram-set-up *

I acknowledge that I have 3 revisions for content for my brand. Every revision after is $75 for each one *

I hereby acknowledge that there are no refunds, except as otherwise provided for herein or agreed by Justine Lamer and the company in writing, there are no refunds of any fees or other amounts paid by you or your Members in connection with Justine Lamer. *

Electronic Signature *

First and Last name

Name