Name

First Name

Last Name

What is the name of the Project ?

What is the allocated budget for the project ?

Range on project budget?

What is the payment time frame ?

E.g ( Net 15 , Net 30 )

What is the determined usage for this project and it's territory?

E.g ( Out of Home , Pos , Etc )

When are you looking to start project ?

Date or Dates for project start time

What are the deliverable time frame ?

time frame on when project needs to be finalized

What are you looking from Me ?

What goals are you looking to achieve with this project ?

tell me your desires of what this project means to you or the company

Where is this project looking to be produced at ? E.g ( NY, PA )

Location or locations for project

Open to Retainer ?

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