Prototype Project Intake Form
Basic Information
Client/Company Name:
Contact Name:
Email:
Phone Number:
Project Name:
Project Purpose & Goals
Purpose of Prototype:
-- Select --
Proof of Concept
Functional testing
User testing
Visual presentation
Investor/demo pitch
Other
Project Goals / Success Criteria:
Prefered By Date:
Design & Specifications
Do you have existing design files?
-- Select --
Yes
No
In Progress
Need assistance
Critical Tolerances or Dimensions:
Prototype Includes:
Moving parts
Electronics
Computer Software
Embedded software/firmware
Other
Prototype Requires:
Water Tight
UV Resistant
Impact Strength
Flexible
Manufacturing Details
Proposed Materials:
Metal
Plastic
Fabric
Quantity Required: (maximum 10)
Finish Requirements:
None
Painted
Polished
Textured
Custom
Business Balance (Optional)
Cheap
Good
Fast
Submit
