New Page 4

If you would like us to contact you regarding your financial or business needs, please fill out the form below or e-mail us at staff@ppglc.com.

Your Name:
Your Organization:
Your Title:
Your Street Address:
Your City, State, and Zip Code:
Your Phone Number:
Your FAX Number:
Your Occupation:
Your E-Mail Address:
Would You Like To Be On Our Mailing List?	YES NO

Best Day/Time to be Contacted.

Day:

Hour:

AM   PM   AM or PM

Which of the following services would you like to learn more about?

Auditing and Financial Reporting

Tax Services

Management Advisory Services

Small Business Assistance

Comments