Initial Contact Form

Please complete all information. If you would prefer to print and complete this form and return it to us, please do so. If you would like us to post this questionnaire to you, please contact Jill Molyneux jmolyneux@stubbsparkin.co.uk
Title*
Name*
First Last
Preferred First Name*
Home Address*
Street Address Address Line 2 Town/City Post Code
Date you moved to this address*
DD slash MM slash YYYY
Home phone number*
Mobile phone number*
Email address*
Date of Birth*
DD slash MM slash YYYY
Marital Status*
- Married
- Civil Partnership
- Living with partner
- Single
Nationality
NI number*
Contact Preferences
Please specify below, how you would prefer us to get in touch with you.
Phone calls - which number is best?*
- Mobile
- Business
- Home
What's the best way to send you a short message or reminder?*
- Phone call - daytime
- Email
- Text message
Please confirm you consent to us emailing you with updates. You can amend your preferences and unsubscribe at any time.
- Essential Stubbs Parkin Client News - significant updates and changes we need to inform you about.
- Newsletter - a mixture of tax / accounts / technology updates handpicked for our clients

Thank you for your interest in our Xero Training. Please could you complete the following questions so that we can get a better idea of how we can help you:
First Name
Last Name
Firm Name
Where would you like the training?
- Online Training
- Face-to-face
Is the training for yourself only or your team?
- Myself
- My Team
Where are you based?
What do you need training on specifically?
CAPTCHA

In order for us to send you a quote, we need some information from you. Please could you complete the following questions:
1. First Name
2. Last Name
3. Email
4. Firm Name
5. What is your Annual Revenue?
6. Which type of conversion are you needing?
- New Business
- Fresh Start
- Business as Usual
7. Do you want...
- Conversion Balances
- Comparison Balances
- Historical Data
- Not Sure / Please Advise
8. How much additional training do you require?
- Half Day
- Full Day
- 2 Day
- 3 Day
- 4 Day
9. Where would you like to do the training?
- In Our Training Room
- At Your Premises
10. Would you like Xero payroll set up?
- Yes
- No
11. How many employees do you have?
CAPTCHA

Contact Preferences