New Customer Proposal Request

Tell us who your customers are… We’ll tell you where they are.

E.L. Bailer would like the opportunity to provide your business with a NO CHARGE consultation about making indoor billboards work for you! Simply take a few minutes to complete the following questions and we will prepare a custom proposal designed to capture the undivided attention of your customers.

Business Name: *
Address:
City:
State:
Zip:
Phone: *
Fax:
Contact Person: *
Description of Product or Service:
E-mail: *
I am interested in:


My customers are:


Their ages are:
Check all that apply



With annual incomes of:
Check all that apply



They are geographically located in/near:
Their professions are:
Check all that apply





If other, please specify:
My customers are also:
Check all that apply



What else should we know about your customers?:
* Indicates required field