2017 Service Request Form
A Reservation Order must be completed before completing this form.
Select the type of consultation or service you wish to obtain.
Management - Consultation
Marketing - Consultation
Fundraising - Consultation
Customer First and Last Name
Enter the first and last name of the party being served.
Customer Phone Number
Enter the best number where the customer can be reached for the reservation.
Customer Email Address
Enter the best email address where the customer can be reached for the reservation.
Choose the medium from which you discovered us.
Solicitation - DSF
Solicitation - Phone
Voucher - PMD Internal
Voucher - Discount Website
Consultation Location Type
Telephone + Email
Outdoor - Commercial
In Person (Limited Availability - In DC Only)
Enter customer street address.
Customer City, State
Enter customer city and state.
Customer ZIP Code
Enter customer ZIP Code.
Select the applicable where the service will be executed.
Area 1: Montgomery, Frederick County
Area 2: District of Columbia, Prince George's County
Area 3: Charles (MD), Fairfax, Arlington, Alexandria City, Prince William County
Area 4: Howard, Baltimore County
Select the date and time of the desired appointment.
Select desired date of the appointment.
Select desired time of the appointment.
Next Available Slot
Select the appropriate service needed to accommodate your appointment.
FE - Orientation Meeting Setup $50.00 +
FE - Questionnaire Meeting Setup $75.00 +
FE - Progress Analysis Meeting Setup $75.00 +
Job No. 1 Specifications
Job No. 1 Service
Select one or more of the services below.
CN - Federal and State Legitimization - $75.00/Hr.+
CN - Branding Consultation - $75.00/Hr.+
CN - Reputation Management - $75.00/Hr.+
CN - Event Planning - $75.00/Hr.+
CN - Franchise Expansion - $75.00/Hr.+
CN - Franchise Management - $75.00/Hr.+
CRT - Telephone Answering Service - $75.00/Hr.+
CRT - Automatic Reservations via Website - $75.00/Hr.+
CRT - Customer Service Script Composition - $75.00/Hr.+
CRT - Receipt Composition - $75.00/Hr.+
CRT - Invoice Composition - $75.00/Hr.+
AD - SM: Facebook Campaign - $75.00/Hr.+
AD - SM: Twitter Campaign - $75.00/Hr.+
AD - SM: Snapchat Campaign - $75.00/Hr.+
AD - SM: Instagram Campaign - $75.00/Hr.+
AD - WS: Website Development - $75.00/Hr.+
AD - WS: Website SEO - $75.00/Hr.+
AD - DP: Product/Service Photo Shoot - $75.00/Hr.+
AD - DP: Logo Design - $75.00/Hr.+
AD - DP: Ad Art - $75.00/Hr.+
AD - DP: Print 6*9 - $75.00/Hr.+
AD - DP: Print 8*11 Menu Toppers - $75.00/Hr.+
AD - DP: Print 8*11 Door Hanger Pamphlets - $75.00/Hr.+
AD - DP: Print Poster - $75.00/Hr.+
AD - DP: Print Banner - $75.00/Hr.+
PH - Solicitation Scripts - $75.00/Hr.+
PH - Prospective Customer Contacts Lists Creation and Management - $75.00/Hr.+
DSF - Logistical Canvass planning - $75.00/Hr.+
DSF - Canvassing Media (pictures, etc.) Creation - $75.00/Hr.+
Job No. 1 Service Description
Describe the service desired, by noting a description of each service checked above.
Job No. 1 Complete
If no other jobs specs are scheduled or requested, click Continue at the bottom of the form until the Submit icon appears.
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