Getting Started

Request Form: Modifying an Existing Business Name
First Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Phone Number:
Alternate Phone Number:
Email:
Do You prefer to be contacted by phone or Email?
Phone     Email
Describe your business concept and purpose:
Describe your service and/or products:
What sets you apart from your competitors?
Define your target market area:
Is your goal to grow locally, regionally, nationally or internationally?
List key words that describe your business and purpose:
List the name you are currently using:
What do you like or not like about your current name?
How long has this name been in existence?
What problems or challenges are you facing with your business?
When will a new name be put into place?
How many key individuals are involved in your enterprise?
List persons who will play a key role in evaluating name choices:
Which of these categories best describes your preference regarding the character of your business name?
Fun, Whimsical Serious, Conventional Innovative, Unique Descriptive
Would you like a by-line...a short descriptive phrase that will be used in conjunction with your primary business name? (Example: Starlight Junction, a Coffeehouse Where)
Yes     No
Are you incorporated?
Yes     No
Do you do business on the Internet through a domain name/website? If yes, please provide your website address, too.
Yes     No Website URL:
Additional Comments:
Click "Submit Request" to submit your information. We will contact you within 48 hours with your free quote. Thank you.