Request Form

General Request (basic information)

Bold * indicates a required field.

Your Name*

Company/District/School*

Preferred Contact Method*

Phone E-mail

E-mail Address*

Phone Number*

Best Time to Call*

Current Web Site
(if applicable)

Comment/Inquiry

Would you like to be on our mailing list?

Yes No

Street Address

City/State/Zip

Information Request (for service or product)

Select the types of products that interest you from the 3 service areas below.
Check all that apply.

EZ-Media

Media Processing
Print Product
Multimedia Presentation

EZ-Software

Disk-Based Tools
Web Sites/Pages
E-Learning Courseware

EZ-Training

Basic Training
Integrating Technology
Instructional Materials

Indicate any specific service, product, or training unit that you would like to learn more about (such as interactive design, custom video, or Productivity Power).

Estimate Request (to place an order)

Please answer questions 1 - 5 for all requests. For EZ-Media and EZ-Software products requests, also answer questions 6 - 10 the best you can.

1. State the product(s) or training unit(s) that you are considering ordering.
If needed, you may view our category list.

2. By what date do you need to have the requested item(s)?

3. Who is your target audience?

4. What is the main goal, purpose, or intended use?

5. What is the approximate scope (size, quantity, length, number or pages)?

6. State your preference for the overall look, arrangements, or layouts (such as standard, creative, or cool).

7. What is the desired tone, style, or feeling (such as technical, casual, or striking)?

8. What level of media content do you want (such as basic, richer, custom)?

9. Which media elements that you want included are already available? (Check all that apply.)

Text Graphics Animation Audio Video

10. Are there more details or specifications that you can describe?

Process Form

For all requests, click the submit button to send your information.
If you want to clear all fields, click the reset button. Thank you.