AC Neon Order Design Questionnaire
Since all of our signs are custom-designed and custom-crafted, it is necessary for us to gain some insight on who you are and what your design desires are. Please print out this form and complete the questions. Fax this questionnaire, or call us at: (707) 840-0170

Contact Information
Name/Organization:_________________________

Address:_________________________________

City:____________________ State:______ Zip:________

Phone: (___)______________ Fax: (___)______________

E-mail:________________________________

1) Do you have a logo? ______________________________________________________

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2) Do you have a concept or theme in mind? ______________________________________

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3) Do you want motion to enhance your design? ___________________________________

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4) Do you have a color scheme? _______________________________________________

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5) Do you want to increase business (attract business after hours, from a further distance)?

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6) Do you want to welcome new customers? ______________________________________

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7) Do you have target customer (ie: age group, economic status, etc)? ___________________

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8) Do you want more street appeal? _____________________________________________

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9) Do you have a size preference for the neon sign? ________________________________

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10) Where will be the location of your desired unit (ie: window, exterior, pedestal, etc)?

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11) Would you be looking into purchasing more than one sign? _______________________

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12) Do you have a particular budget in mind? _____________________________________

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Any further information you feel is useful to provide (Questions/Comments): ___________

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