Information Request Form
Name
Firm Name
Mailing Address
Address (cont.)
City
State
ZIP
Phone
FAX
E-mail
Do you own or manage a small business?
Yes
No
Type of business:
Check the type of FREE information you would like to receive:
Quarterly Newsletter
Tax Planning Letter
Your areas of interest (check all that apply):
Tax Planning and Preparation
Financial Statement Preparation
& Review Analysis
QuickBooks Consulting
Business Problem Solving
Financial Planning
Retirement Planning
Estate Planning
Please use the area below for your comments and questions.
Balin Accountancy Corporation
Mission Valley Office
1565 Hotel Circle South, Suite 300 • San Diego, CA 92108
(619) 297-1040 • Fax: (619) 297-0635
E-mail:
cpa@balincorp.com
