Product Design Request Form

Filling out this questionnaire is the fastest way for us to prepare for our first meeting with you

Not sure which services you need?

For More Information:

Otherwise, Proceed to the form below.

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