Facchetti & Facchetti, LTD. Accountants & Enrolled Agents
16 Kendrick Rd. Suite #7
Wareham, MA 02571
Telephone: (508) 295-6633
4559 ShoShone Trail
Sarasota, FL 34233
Telephone: (508) 295-6633
Fax: (508)295-6885

       New Client Contact Information Form

      Please provide the following information and we will contact you:

Name
Title
Organization
Work Phone
FAX
E-mail
URL

Select any of the following options that apply:

Personal Income Tax Preparation    
Business Accounting & Tax Preparation
Electronic Filing    
Monthly Write up Services    
Payroll Services   
IRS Representation  
Systems Counseling   
Estate Tax Preparation  
If you have any other needs, please add them here .

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email:scott@facchetti.net
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