Your Name


Title


Organization/Business


Address 1


Address 2

 
City, State, Zip

 
Telephone


Email Address


Nature of your business


Size of organization (# of employees)

1.  Current Communications:

Existing communications need improvement
Entirely new project - start from scratch
Other

2. Your communications needs:

Newsletter
Magazine
Flier/Bulletins
Catalog
Program
Brochure
Web Page
General Writing
Don't know what I need - let's discuss
Other

3. Audience that you want to reach:

Employees within main office
Employees in satellite offices
Management
Prospects
Existing Clients
Industry Contacts
Community
Other

4. Your vision for a communications vehicle:

High quality black and white publication that can be run on a copier
Black and white publication, professionally printed
Publication with one or two highlight colors, professionally printed
Top of the line, full color publication
Don't know what I need - let's discuss
Other

5. Frequency:

Weekly
Biweekly
Monthly
Bimonthly
Annually
Don't know - let's discuss
Other

6. Budget:

Looking for high quality at lowest possible cost
Looking for high quality - don't care about the cost
Somewhere in between the above scenarios
Don't know - let's discuss

Additional Comments: