Power Play Consulting, LLC Customer Intake Form Thanks for taking an interest in our services.  Please fill out the form as completely as possible, (including employee population and types) and we will get back to you as soon as we are able. *A note about your employees.  Professionals are Owners, Partners, Associates, Counsel, CPA's, CEO's, MD's, etc...  Paraprofessionals are Paralegals, Legal Assistants, Junior Bookkeepers, Medical Techs, Nurses, etc... First Name Last Name Title Company Name Address Line 1 Address Line 2 City State Zip Code Daytime Phone () - Contact Cell Phone () - Fax () - E-mail Address Best Time to Contact Best Method of Contact # of Professionals # of Para-Professionals Total # of Employees Practice Areas Additional Comments How Did You Hear About Us? Information you send to Power Play Consulting will be held in confidence. We do not sell our contact lists.