This should be an easy one!
The email you check the most so we can get in touch.
The number you're most likely to answer.
Who you work for or represent.
So we can see what we're working with.
City and province / state will do just fine.
Briefly describe your company, this helps us get a better understanding of who you are.
Describe who your competitors are (add website urls if possible)
What makes your company stand out from the rest?
Briefly describe the target audience for your project.
This helps us decide what to ask you in our followup.
Describe your project in as much detail as possible. Where would you like to see your project in the future? What problems are need to be overcome?
What are the goals for your project?
Have you seen any websites, publications, ads, etc that have inspired you? If so, paste a link to them here.
This gives us an idea of the scope of your project and without it, it is very difficult to gauge the time we can dedicate to you.
Unfortunately yesterday isn't possible :(
Please add any extra information that may be helpful in the planning of your project.