Welcome to Idein Design, Inc.


Please complete and submit the following form.

General

Note: * Denotes Required Fields

Corporate

Number of Locations or Branches:
Do you have a Corporate Office?		Yes No
Number of computers in use:		Modems?
Internet Connectivity:		Yes No
If so, Select type:
Number of Phones		PBX?
Hour of Operation:
Number of Employees:
Special Skills/Training:

Do you have an outside sales force?		Yes No
If so, How many reps?
Areas?

Please select which (if any) Credit Cards you accept (check all that apply):

If other, Please list below:


How many years have you been in business?		Years

Advertising/Marketing

Please list Products /Services Offered:
Primary:
Secondary:
Other:

How do you currently grow your business?

Please select which of the following types of advertising you currently use.
(check all that apply):

If other, Please list below:

What areas (regions) do you serve?

Who is your target market (customer base)? (check all that apply):

If other, Please list below:

In 20 words or less, please describe what makes your business unique:

Do you currently have a website?
If so, please list the web address (url) below:

Who are your top three (3) competitors?

Please list their url (website address) if known.

Are there any Specific Need(s) you want your advertising to meet?

If you could improve one area of your business, which area would it be?

Please select the Primary Operation of your business. (Select only one):

If other, Please list below:

Please List your Business'

Strongest Point:
Weakest Point:

Do you use an outside firm for? (check all that apply):

Does your company have a standardized logo?

Yes No

If so, Is it Trade Marked?		Yes No
Service Marked?		Yes No

Does your company have a Primary and/or Secondary Color?

Yes No

If so, Please List the PMS #s: