Product Design Request Form

Please answer the following questions to the best of your ability so we can connect you with the appropriate team member. If you prefer to have an NDA in place prior to disclosing details on our project, just reach out to us via our Main Contact Form

Please fill out all that apply

Your Name*

Your Email*

Your Phone Number*

Company Name*

Company Website

Services needed*

Brief Description of Your Product*

Similar products/competition currently on the market

Features/Functions

Target Market

Where will your product be sold?

Price Point

Budget*:

Inspiration(s)

Time Constraints*

First Order Quantity

Desired material and finish

Where did you find us?

Additional Comments/Questions

Related Files






If you are experiencing any issues with the Product Design Request form, please call the office at 714-884-3874 or e-mail info@andesignlab.com