Project Request Clinic Details Clinic Name Clinic Address Clinic Phone Number Clinic Website Address Clinic Contact Name and Email Address Regional Sales Manager? Select your RSM Daryl Houghton Jacques Erpelding Janace Daley Lara Cox Nadine Anis Samantha McKendrick Sarah Young Tara Warren Jeff Jones Tracy Wentzel Project Setup Project Name Project Type Advertisements (1-2 weeks) Branding Package (2-3 weeks) Database Marketing (2-3 weeks) Direct Mail Marketing (2-3 weeks) Physician Marketing Pieces (1-2 weeks) Promotional Materials (1-3 weeks) Refer-a-Friend Program (1-2 weeks) Signage (1-3 Weeks) Video marketing (1-2 Months) Website Design (1-3 Months) Other (1-3 Weeks) Due Date Project Design Brief General Description of Project Headline i.e. Life, Uninterrupted. (Or ask us to come up with this) Hook Line i.e. Test Drive the World's First 24 Hour Lithium-Ion Rechargeable Hearing Aid (Or ask us to come up with this) Call to Action Imagery Notes Dimensions (Width & Height) Description / Must-haves / Do-Not