New Project Intake Form Fill out this form so we can gather some basic info for starting your new project with us! If you are an existing client, we may already have some of this info, but we would appreciate you giving the info again as an opportunity to confirm it. Your Name(Required) First Last Name of your Business/Organization(Required)Your Email(Required) Your Phone(Required)Is this number:(Required) Mobile Home Work Mailing Address for Business/Organization Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Other people on this project teamYou may have other people who will work with you on this project and should be included in any initial meetings and Basecamp (our project management platform) for communications, decisions, sharing files and content, etc. If you have other team members, please give their full names & email addresses here. (We recommend no more than 6 team members.)Are you the main contact for this new project?(Required) Yes No Don’t know yet Main Project Contact Name(Required) First Last Project Main Contact Email(Required) Who should receive emailed invoices?(Required) Me Someone else Billing Contact(Required) First Last Billing Contact Email(Required) Copied on invoicesWould you like to be cc’ed on the emailed invoices to your billing contact? Yes, please cc me on invoices No, please only invoice the billing contact We will be paying via:(Required)We do not take paper check payments. We prefer ACH for payments over $500. Credit Card Zelle or PayPal We need to set up ACH Zelle & PayPal Info Payment via Zelle or PayPal is accepted. Payments should be sent to: [email protected]. This info will appear on every emailed invoice. Of these two methods, Zelle is preferred, since it incurs no fees to the service provider.ACH information To pay via ACH, we will need you set you up in our ACH system. This requires a quick phone call to give us the routing & account numbers from the front of a check. A microdeposit (usually $0.01) is made in your account, and you will give us a code that appears in the transaction description. After this validation, you will receive any invoices via Stripe, with a “Pay this invoice” link. (Detailed invoices may also be sent via Quickbook.) Recurring automatic payments may also be set up using this payment method.EmailThis field is for validation purposes and should be left unchanged. Δ