| Please
tell us about yourself and your company:
(*Indicates
required information) |
| *
First Name: |
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| *
Last Name: |
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| *
Company Name: |
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| * Address: |
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| *
City : |
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| * State: |
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| * Zip: |
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| * Phone: |
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| Fax: |
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| *
E-mail: |
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| Website: |
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| Having
answers to the following questions will help us build
a proposal designed to meet your specific needs
and goals: |
| *
Your product/service's name? |
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| * 3 features:
(Size, color, weight, quantity, etc...) |
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| *
3 benefits: (Saves money, saves time...What it does
for those who buy it) |
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* What else should
HPM know about this product/service?
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| *
In business since? |
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| * Retail Selling
Price (if applicable)? |
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| *
What is your average $$ per sale? |
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| * What is your offer to the
end-user? |
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| * Do you
have a call center? |
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| If YES, who is it? |
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| * Do you
have a merchant account so you can accept credit and
debit cards and checks by phone? |
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| * Do you have
a fulfillment house? |
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| If YES, who is it? |
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| * What media
do you want to use? |
(use control key to select more than one.) |
| *
What price range are you comfortable with to
have 2 TV commercials produced? |
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| Tell
us about your IDEAL customer: |
| * Age range: |
(use control key to select more than one.) |
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Sex: |
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| Income range: |
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| *
What 1 or 2 things do MOST OR ALL your customers
have in common? (i.e., they have pets, college educations,
own a home, etc...) |
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| Tell
us WHY people want your product/service: |
| *
What problem does your product/service solve? |
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| * How does your
product/service differ from your competitions'? |
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| *
How much do you have budgeted per month for advertising?
|
(please be specific) |
| * What is your
timeframe? |
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| *
What states do you want to reach?: |
(use control key to select more than one.) |
| * Please tell
us which cities you're targeting? |
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| *How
did you find HPM? |
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