Product Submission Information We thank you for taking a moment to answer the following questions in order to best evaluate your product. What we look for in new product:     -Not yet sold in retail stores     -Be extremely visual and demonstratable     -Perceptibly beneficial to consumers and offer genuine value     -Impulse driven     -Consumable in order to encourage repeat buys and backend continuity sales Please fill out the form below and click the "Send Message" button. Fields marked with * are required. We will respond promptly when we receive your submission. Note: we are unable to handle customer service inquiries received from this form. First Name*: Last Name*: Address*: Address: City*: State (U.S.): Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province (outside U.S.): Zip/Postal Code*: Country*: Phone*: () Fax: () Cell phone: () Email*: Product Category: Diet/Nutrition Health and Fitness House Wares/Small Kitchen Electrics Business Opportunity Music/Video Beauty/Makeup/Hair/Personal Small Tools (Hand/Power) Sports/Golf Personal Development Automotive Other Other - Please explain: Does your product have a name? YES    NO Product Name: Identify the unique selling points, features, and benefits of your product. (Please check all that apply.) Mass Consumer Appeal Solves a Problem New/Unique/Nothing else like it Demonstratable High Perceived Value Other - Please explain: Please describe your product and its benefits: Are you the... (Please check all that apply.) Owner Manufacturer Agent Expert Spokesperson Do you have the exclusive rights to the product? YES    NO Does the product have... (Please check all that apply.) Patent       Patent number: Patent Pending Trademark Expert Copyright None of the above If the product is patented, in what countries? What is the estimated cost of goods delivered? What is the suggested retail price? Do you have an MPEG4 format DVD of someone demonstrating the product? YES    NO Please list at least 5 claims you can make about your product. Are there clinical studies supporting these claims? YES    NO Have you ever started or completed an infomercial or TV spot for this product? YES    NO If it aired, what were the results? Is the product currently being marketed anywhere in the world? YES    NO If so, how? (Please check all that apply.) TV-infomercial TV-spot Radio Distributors Retail stores Tradeshows Print advertising Other    Are there exclusive worldwide marketing rights available? YES    NO Do you have printed brochures or sales sheets? YES    NO Do you have testimonials from people who have used your product? YES    NO Is there a spokesperson or celebrity associated with your product? YES    NO If yes, who? In what stage is your product? Concept Prototype Needs Development Development Complete Being Manufactured Are there any related products, free give-aways, or add-ons for this product? YES    NO If yes, please explain: How did you hear about us? Additonal comments: Your Access Code: Change Access Code Enter Your Access Code From Above:
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