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First Name: *
Last Name: *
Company Name: *
Address: *
City: *
State:
Zip code: *
Phone number *
Email: *
Do you have an EFIN
(Electronic Filers Identification Number)?
Yes   No *
Number of e-filed returns last year *
Do you offer Bank Products? Yes   No *
Are you a Service Bureau? Yes   No *
What software do you currently use? *
How did you learn about us? *
What type of software do you use?  Desktop     Online         Both *
What type of returns do you file?  Individual   Corporate   Both *