What is the name of your invention or product?

Briefly describe your idea / invention / product.
Include Materials, Specs, Size and Power Requirements:

What are three key selling features of your product/service?
(What reasons/features would make someone want to buy your product?)

What makes it unique?

Have you marketed it before? If so, how?

If you have marketed the product previously,
describe the specific product offer: price, components, premiums, etc.

What is your cost of goods? Do not include any profit or markup.

Where is the product manufactured?

What do you feel is the target price for the consumer to pay for your product?

Are you under an agreement to provide a royalty to someone? If so, how much?

Do you have a sample or mock-up? Briefly describe.

Do you have an inventory? If so, how much?

Are you willing/capable of investing in the infomercial production for your product?

Do you have any trademarks or patents issued or pending?

Do you have access to any testimonials, either consumer or celebrity? Please describe the type of testimonials: video, written correspondence, etc.

Your Name:

Company Name:

Mailing Address:


Suite # :

City:

State/Province:

Zip:

Country:


Phone Number:           
(Please include your country code.)
        
Extension:

Fax Number:
(Please include your country code.)


Your E-mail Address: (Required for a reply)
(For our private use only!)

How did you hear about Ambitious Ideas, Inc. and our Web site?

Any comments or questions?