New Service Idea Submission Form

This form is to be completed for any new service idea to be submitted to Pyramid Educational Consultants. This may be a service that has already been developed and may be of interest to Pyramid, or an idea for a potential service.

Those items marked with an asterisk are required fields. On submission of this form, you will receive a confirmation email. If you do not receive this email, please contact Roxanne Hunter at rhunter@pecs.com.

*  I am submitting this form on behalf of (Select One): 

Individual Person
Organization: For Profit
Organization: Non-profit
POC
PGMSC

*  First Name: 

*  Last Name: 

Title: 

Organization Name (if applicable): 

*  Email: 

*  Primary Telephone (Please include country code and area code): 

Secondary Telephone (Please include country code and area code): 

Fax: 

*  Mailing Address: 
(Please include your street, city, state/province,
zip/postal code, country/region)

*  Development Status (Select One): 

Idea Only
Work in Progress
Finished Work

*  Documents Available: 

(Select as Many as Apply)

PowerPoint Presentation
Supplementary Pages for Handouts
Summary of any Video Included
Proposed Duration of Service
Timeline for Delivery
Goals/Objectives of Service
Summary of Materials and/or Equipment Required
No Documents Available

*  Existing Legal Protection (Select One): 

No Protection
Copyright
Trademark
Servicemark

*  Suggested Service Name: 

*  Description of the Service: 

Target Market

      *  Target Consumer:

      *  Estimated Market Size:

      *  Expected Market Growth:

International Appeal

      *  Language Adaptability:

      *  Cultural Adaptability:

*  Estimated Selling Price:

*  Estimated Cost of Service:

*  Estimated Life of Service (before revision is required):

*  Potential Methods of Service Provision: 

(Select as Many as Apply)

Live
Online
Webcast
Other

Further Comments: 

This page was last modified: March 07 2012