NATOLI-LEGAL, LLC
305 Broadway, 7TH Floor, New York, NY 10007
(212) 537-4436

Website Agreement Client intake Sheet

1) PRIMARY CONTACT
Name: (Company or as Individual)
Entity Type: (Corp., Partnership, LLC, Sole-Proprietor, etc.)
State of Organization:
EIN/Federal Tax Number:
Address 1: (Location of Individual or Business if under Company name)
Address 2:
Phone: (Primary)
Phone: (Secondary)
Fax: (Optional)
E-mail:
Website URL:
Country of Origin:
Please let us know how you heard of our services:
2) PERSONAL CONTACT (If filing as a Company, include contact information of person authorizing the filing.)
Name: (Contact Individual)
Title:
Address 1: (Location of Individual Authorized to File)
Address 2:
Phone: (Primary)
Phone: (Secondary)
Fax: (Optional)
E-mail:
3) WEBSITE INFORMATION  
On the following page, please describe, specifically, the nature of your online business or website. You may want to consider the following issues in forming your description:
a. Content is user driven
b. Content is shared
c. Site is eCommerce
d. Intended customer and/or audience
e. General business model
f. Intellectual Property concerns
g. Appropriateness and sensitivity of content
h. Legality of business activities (video linking, gambling, copyright concerns)
i. Security concerns
Do you foresee your website allowing for User Generated Content? If so, please check the box
4) TYPE OF AGREEMENT REQUESTED (Please mark any that apply)
Terms & Conditions of Use
Privacy Policy
Terms of Sale / Service
License Agreement
Type of Agreement Requested
5) SPECIFIC CLAUSES
Please list any special or specific language or concerns you would like to
address or include in your agreement:
6) COMPETITORS’ WEBSITES
Please feel free to upload any other information relevant to your matter.