Client Intake Form

Business Hours *
Are you the Primary IT Contact of your business? *

You Selected "No" for "Primary IT Contact." Please list someone at your organization who wishes to be the IT Contact. (This person does not have to be technical)

Accounts Payable Information

ACH Payment Process: We utilize ACH (Automated Clearing House) for monthly payments. To get started, you will need to fill out the ACH form below. A few days before the auto draft occurs, customers will receive an alert letting them know that an ACH transaction is scheduled to occur. On the day of the draft, customers will receive an emailed receipt. All ACH transactions are scheduled for the first of each month.

Bank Transfer Authorization Form

By filling out and submitting the form below, you authorize Thin Blue Technologies to electronically debit your bank account according to the terms outlined below. You acknowledge that electronic debits against your account must comply with United States law.

Terms of billing:

Bank account information:

Account Type *

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