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Name: Company:
# of Employees: 1-10 11-20 21-50 51-100 over 100
Type of Business: Address: Email Address:* Phone Number:*
Type of Marketing Materials Desired:
High Quality Brochure (8.5 x 11) Full Color 2/3 Color B&W Number of 2-sided Pages (including cover)
High Quality Trifold (8 x 3.66 panel) Full Color 2/3 Color B&W
Other
Estimated Budget: Under $1,000 $1,000 - $2,000 $2,000 - $4,000 $4,000 - $7,500 $7,500 - $10,000 Over $10,000
Timeframe for Starting Project: ASAP In two weeks In one month
Specific Requirements/Comments: