Proposal Request

We sincerely appreciate the opportunity to bid on your upcoming project! We are a full-service focus group facility. Please complete the form below and we will respond in 24 hours. If you need immediate assistant, please call 410-332-0400.

*First Name	*Last Name
*Email	*Phone Number
*Company
*How You Heard About Us Select One AMA M Guide Blue Book (hardcopy) Blue Book (online) Brochure Greenbook (hardcopy) Greenbook (online) MarketsDirectory.com PMRG Conference Postcard QRCA Conference QRCA Facilities & Services Directory (hardcopy) QRCA Facilities & Services Directory (online) QRCA Views (hardcopy) QRCA Views (online) Quirk’s Focus Group Facility Directory (hardcopy) Quirk’s Focus Group Facility Directory (online) Quirk’s Magazine (hardcopy) Quirk’s Researcher Sourcebook (hardcopy) Quirk’s Researcher Sourcebook (online) Impulse Survey Other (Please Specify)	Other
*Dates 1st Choice	2nd Choice
3rd Choice	Services Required Focus Group    In-depth Interviews Test Kitchen     CLT
Number of Groups/Interviews	Suggested Incentive
Length of Sessions	Requirements Ctrl/Click to Select Multiple Facility Rental Recruiting Moderating Services Stationary Video Taping/DVD Recording Video Taping with Operator 1/2 VCR/Monitor(Playback)1/2" Costs for Respondent Food Costs for Client Food Digital Audio
Project Description	Recruiting Specifications
Suggested Incentive Comments
	* Required Fields