Fill out our questionnaire so we might be able to match up one or more of our networks to best fit your business needs. The more we know about you, the more we can help. Your Account Executive will bring you a CHI coffee mug when they come to visit you

Fill out as much information as possible and click submit when complete. A CHI Representative will contact you directly within 48 business hours.

Charleston-Huntington Interconnect Client Questionnaire

* - required fields

*Name:
*Company:
*Address:
*City:
*State:
*Zip:
*Phone:
*Email:
Are you the person who makes the buying decision?
What promotional ideas would you like to build on?
 
What is the strength or specialty of your business?
In percentages, how do you feel your business tracks over the course of the year?

January February March

April May June

July August September

October November December

Please list any special sales, promotions, etc. that your business currently has.
What is your current monthly advertising budget (% or $) for:
 

Newspaper:

Radio:

Direct Mail:

Cable TV:

Broadcast TV:

Billboard:

Other:

Who do you feel your customers are (demographics)?
Market Areas
Type of business:
Major Product/Service: