Intake form

Help us serve you better

Name *

Email address *

What service are you interested in?

Please select at least one option.

Delivery Service

Live Streaming Platform

What type of delivery do you require?

What is the delivery address?

What items do you need delivered?

What date do you need the delivery?

What time do you prefer for delivery?

How did you hear about us?

Please select at least one option.

Social Media

Friend or Family

Online Search

What platform do you intend to use for live streaming?

Do you require assistance with setting up the live streaming?

Additional questions or comments

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Instantly Inc.