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Title:
First Name:
Last Name:
Suburb:
Business Phone:
After Hours:
Mobile:
Email Address:
Type of Entity:
Name of the Business:
The Business Activity:
The Business Location:
Age of business:
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Why are you looking for a new accountant?
If you have a present accountant how long have you been with them?
Have your accounts and returns been prepared for the year ended 2006?
Please indicate what service you are interested in?
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If you are looking at purchasing investments or expanding would you require finance?
Do you have other related entities? eg Super Fund, Unit Trust, etc
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