NewProductIdea

New Product Idea Submission Form

Please note that all items marked with a red asterisk * are required to process this form.

Contact Information
First Name:	*
Last Name:	*
Company:	*
Industry:
Title:
Address (line 1):	*
Address (line 2):
City:	*
State/Province:	*
Zip/Postal code:	*
Country:	*
Telephone:	*
Alternate Telephone:
Fax:
Email:	*

Section 1: Project Indentification
(1) Is this a personal or B2B inquiry?	*
(2) Is this a new product idea, a product improvement, or do you have a problem that needs a solution?	*
(3) Briefly describe the product or the problem you need to solve.	*

Section 2: Project Identification Detail

(1) Where or how will the new product be used? Be specific. Examples: In the home, transport goods, storage and retreival, in building or construction, along the highway, in a freezer, on the farm or within a manufacting plant, etc.

(2) What is the working environment? Include temperature range, humidity, corrosives, light, other important conditions.

(3) Is there a similar product available today made of plastic or any other material?

If no, or not sure, skip to question #6. If yes, please answers questions #4 and #5.

(4) What is the existing product name, model and manufacturer, if known? Describe the product, how it is made and how it is supposed to work.

(5) What are some of the problems with the existing product?

(6) What special features will be required for a new product?

(7) Who will be using/handling the new product? Will any special equipment be involved?

(8) What benefits including savings and efficiency gains would they expect to see by using the new product?

(9) What is the required or maximum physical size of the new product?

Length:		Width:		Height:
Volume:		Weight:

(10) Advise any additional information that will help us analyze your request.

Upon submission, your inquiry will be acknowledged with a return receipt. One of our New Product Development Managers will then be in touch with you shortly. If you have any questions please contact Jack Fillmore, New Business Development Director at 800-934-3312, ext. 5506, or by E-mail at jfillmore@rehrigpacific.com.