Dear Client,
The purpose of this form is to receive needs, expectations and specifications of your requested service in order to prepare a proposal by Agah Pars International Research Institute (IRC). Hence, please fill it out thoughtfully. It is worth mentioning that this form is a request for offering services not a contract. Filling out this form from your honorable company doesn’t guarantee any service offering by Agah Pars institute; all the services of this company is presentable merely after completing the required information, determining schedule and signing a contract.
Specifications of the requested service:
Please answer the following questions with details based on the requested service / Row
Introduce the product/ products under investigation (even photo) and explain about its features. / 1
Activity Type: / 2
Sampling ☐ / Merchandising ☐ / Promotion ☐
Exhibition ☐ / Road Show ☐ / Event ☐
Others (Please explain):
Project Specifications: / 3
Target Locations for execution(Groceries, Chain Stores, Shopping area & etc.):
No. of needed teams: / No. of members in each team
Team member`s gender: Male ☐ Female ☐ / Product launch project:
Project Duration (No of Months): / No of working days in each month:
Project Start Date: / Project End Date:
Is it repetitive during the year? (If Yes) how many times in a year:
Please specify the geographical areas for conducting the project.(which cities should be covered/only urban or urban & Rural)
In case you want the project in more than one city, please determine you want the execution in parallel or one by one / 4
Who is your target in this project? (i.e. gender, age, SEC, consumer or seller and so on) / 5
Specify the objectives of your requested project with full details. / 6
Main objectives:
Secondary objectives:

Specifications of the applicant:

Specifications of the applicant / Title / Row
Name and family name of applicant: / 1
Title of the applicant: / 2
Name of organization: / 3
Organization’s field of activity: / 4
Date of request: / 5
Phone number: / 6
Mobile: / 7
Email address: / 8
Organization’s website: / 9