Client Intake Form

Company Information

Company Name:
Website URL:
Business Address:
Phone Number:
Primary Contact Name:
Title/Position:
Email Address:

Business Overview

Year Founded:
Business Structure:
Sole ProprietorshipLLCCorporationPartnershipOther

Brief Description of Products/Services:

Number of Employees:
Annual Revenue (Optional):
D-U-N-S Number (if available):
NAICS Codes (if known):

Government Contracting Readiness

Are you currently registered in SAM.gov?
YesNoIn Progress

Certifications (Check all that apply):
8(a)HUBZoneSDVOSBWOSBNoneOther

Have you previously pursued or been awarded a government contract?
YesNo

If yes, please describe past performance or relevant experience:

Areas of Interest:
Federal ContractsState & Local ContractsSubcontracting OpportunitiesAll of the above

Areas of Interest & Support Needed

What services are you interested in from GovX Advisors? (Check all that apply):
Bid Proposal PreparationMarket Research & Opportunity IdentificationSAM/SBA Registration & CertificationContract Compliance SupportProposal Evaluation & Mock ReviewsStrategic Advisory & Growth PlanningOther

Short-term goals in government contracting:

Long-term goals:

Additional Information

How did you hear about GovX Advisors?
ReferralOnline SearchLinkedInGovX WebsiteOther

Anything else you'd like us to know before our initial consultation: