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Selatech Client Intake Form

Helping Startups and Businesses Scale Through Software and Tech talent

Tell us about your tech needs and we will help you find the right solution.

Basic Information

What is your Name?

*

What is your Company Name?

*

What is your work email address?

*

What is your Role?

*

Understanding Your Needs (N=Need)

What are you looking for? (Select all that apply?)

*

What are you looking for? (Select all that apply?)

Custom Software development

SaaS Software Development

IT Consulting and Digital Transformation

Hiring Tech Talent

Other

Briefly describe your project or hiring needs?

*

Decision-Making and Budget (A=Authority, B=Budget)

Are you the primary decision-maker for this project?

*

Are you the primary decision-maker for this project?

Yes

No

Do you have an estimated budget for this project?

*

Do you have an estimated budget for this project?

Yes, we have a defined budget

No, we’re exploring options

We’d like guidance on pricing.

Ideal timeline for execution

*

Ideal timeline for execution

ASAP (Within 1 Month)

1-3 Months

3-6 Months

6+ Months

How would you like to proceed?

*

How would you like to proceed?

Schedule a call to discuss details

Get more information first

Just exploring for now

Once you fill this out, our team will review your needs and reach out with the next steps!