New Customer Intake Form - Black Box Media

Welcome to Black Box Media!

Please complete the intake form below with as many details as possible so that our team can get started on designing and developing your branding.

What is your first name?

What is your last name?

What is your phone number?

What is your email?

What is the name of your company?

What is your tagline/slogan?

What is your company address?

What is your company phone number?

What is your company website?

What is your company email address?

What is your mission statement?

Briefly tell us about your business (services, competitive advantages, etc.)

What is your service area? (50km radius, Alberta, Canada, global, etc.)

Facebook URL

Instagram URL

Twitter URL

LinkedIn URL

Are there any other links you'd like to share with us?

What social/marketing channels do you intend to use? (Instagram, Tiktok, YouTube, Pinterest, Etsy, etc.)

Do you have a logo already? Please upload it here:

If you don't have a logo yet, please answer the following questions:

Do you have a current colour scheme for your business/logo? (please provide hex color codes if possible) (optional)

Specify EXACT wording for your logo (optional)

Do you have specific icons or imagery that you DO NOT want in your logo? (optional)

Do you have specific icons or imagery that you DO want in your logo? (optional)

What brands/logos do you LOVE and why? (optional)

What will you use your branding/logo for? (merely online, or for business cards, brochures, clothing, etc.)

Do you have a font set currently?

Is there a story behind your brand/business name or logo?

What is the primary message you want to convey to your customers?

If your company was a person, how would you describe it? (quirky, feminine, sophisticated, laid back, etc.)

What/who is your target market? (age, gender, cultural, interests, job titles, location, etc.)

Do you have any competitors that you are aware of?

How does your target market find your business?