The form below is designed to give us a better understanding of your product and needs. You can also contact us directly by any of the means listed on the left side of the page. No matter how you contact us, all your information is kept strictly confidential.

 
Standard Contact Methods
  
Contact Request Form.


Sales Telephone:
954-725-4200 x232

Fax:
954-725-5500

796 S. Military Trail
Deerfield Beach, FL 33442
  
Demo Reel
Would you like us to send you a demo reel? Yes! No
Which format would you prefer? VHS DVD
(Due to the high volume of demo requests we receive, sometimes DVD's are not available. In that event, we will send you a VHS version instead)
Your Contact Information
First Name*
Last Name*
Position or Title
Company Name*
Street Address*
Suite #
City*
State*
Zip*
Country
Phone Number*
Mobile Number
E-mail*
Web Site Address
Preferred Time to Contact
   
Project Information (optional)
Please describe your product or service:
In what category is your product? Please check all that apply. Arts & Crafts
Automotive
Beauty / Cosmetics
Electronics
Fitness
Gardening
 Gifts
Hardware / Tools
Health / Nutrition
Housewares
Kitchen
Other (Please Specify)
Key selling points of the product: a)
b)
c)
d)
e)
What is the suggested retail price?
What is your relation to the product? Inventor
Marketer
Manufacturer
Distributor
Other (Please Specify)
Is the product Trademarked? Yes / No
Does it have a Patent? Yes / No
   
Marketing Information
Which forms of marketing have you already used? Direct Mail
Home Shopping
Infomercial
Print Advertisement		 Radio
Telemarketing
None
Other (Please Specify)
Are you able to provide us with a sample of the product? Yes / No
Do you have exclusive marketing rights? Yes / No
Do you have testimonials? Yes / No
   


All information submitted is kept strictly confidential and is for the sole purpose of our initial consultation and product review. If you require a confidentiality agreement please feel free to Allied Communicatons, Inc. directly.

 



©2005 Allied Communications, Inc.