Request Form:

This form is for you to describe yourself, and
your idea for a custom version of the black book, or wingman.

If the idea is from a book you have written, or plan to release with the new application. 
What kind of sales can we expect and what market group are we targeting with these sales.

Please provide the following contact information:

First Name
Last Name
Middle Initial
Title
Organization
Work Phone
FAX
E-mail
URL

Please provide the following product information:

Name of Application
Purpose of Application
Estimated Sales
Rating for Application
Based on what application:
What type of person will purchase this application

Please identify and describe yourself:

Name
Date of Birth
Sex Male Female
Tell us about yourself

What changes to the original application will be necessary
(We need to estimate how much labor and cost involved on our part to create your custom version of product ?)


Will you be releasing a book, or training manual along with our release of the application.  If so, will we be releasing an e-book version as well?

How much marketing / advertisement will you provide for product.

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Revised: 09/10/08