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


Target Market

Where will your product be sold?

Price Point



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