Request for Proposal/Quote

To request a quote for your next research project, please call Lewis Copulsky at 919-246-9038 x106, email lewis@readersurvey.com, or submit the form below:

Name:	Position:
Publication:	Organization:
Email:	Phone number:
What is your circulation? Less than 1,000 1,000 to 9,999 10,000 to 19,999 20,000 to 49,999 50,000 to 99,999 100,000 to 499,999 500,000 to 999,999 1,000,000 or more
Is your publication . . . Paid         Controlled         Membership         Combination/other
What is your timeframe for this project? Immediate Within the next 3 months Within the next 6 months Within the next year More than one year from now
What is your approximate budget? Under $2,500 $2,500 to $4,999 $5,000 to $9,999 $10,000 to $14,999 $15,000 to $24,999 $25,000 or more Don't know/prefer not to say
How do you want to conduct the survey? Mail         Online         Either/both         Other
Please describe the purpose(s) of this study: