Name:
Title:
Company:
Address:
City:
State:
Zip:
Telephone:
Fax:
Email:
Web Address: * (If you have one.) This allows us to do our homework prior to contacting you.
Type of products sold: *
Project deadline: * (optional)
Type of Sample Kit:	Big Kit Medical
Company Revenue: *	Select a choice: Less than 1 million 1-2.5 mil 2.6-4.999 mil 5-10 mil 11-20 mil 21-50 mil 51-100 mil 101-249 mil 250-500 mil 501-999 mil Over 1 billion
Please check the reasons that apply to your project:
1. Out of copy space on your product 2. Would like to fit more languages on your products 3. Impossible to fit everything you want to say 4. Copy is too small for customers to read 5. Product's benefits copy is overshadowed by regulatory copy 6. Turn product into promotional delivery vehicle 7. How to handle too much legal copy 8. More expansive product instructions 9. Introduce a new product 10. Interested in hearing about inexpensive short run solutions 11. Better handling of MSDS 12. Add value to your product 13. Differentiate "me to" products from your competitors 14. Innovative ON PRODUCT premiums for your customers 15. Other
How did you hear about us?:
What type of label construction most interests you?: * (We'll put more of these in the kit. See our Product Overview for ideas)
Comments: *