name  
company  
title  
address street
city
state zipcode
country  
telephone  
fax  
email  
website  
business type  
sign company reseller architect
ad company general contractor system integrator
factory importer /exporter school
end user government other
number of employees
   
1-10 employees 10-50employees
50-100 employees 100+ employees
annual sales  
100,000 + 500,000 + 1,000,000 +
5,000,000 + 10,000,000 + 50,000,000 +
have you used or sold an led display before yes | no
if yes, who was the supplier
location  
indoor outdoor other
product  
message center time & temp price changer
rgb video screen score/timing traffic
theater factory other
display size   width   height
character height   inches
sign faces   single   double   triple  
quantity  
sign colors  
red only amber only 9 color (RGY)
64 color (RGB) 16.7M+ color other
lines of text  
1 line 2 lines
3 lines other (please specify)
additional information
additional specifications
   
yes no
hardware/software required

purchase time frame
   
now 1 to 3 months
3 months or more not sure
delivery time frame
   
30 days 45 days
60 days 60+
annual sales  
100,000 + 500,000 + 1,000,000 +
5,000,000 + 10,000,000 + 50,000,000 +
budget   maximum   minimum
other considered suppliers
additional comments