Peconic Bay Marketing

958 Portion Rd.

Ronkonkoma, NY 11779

(631) 738 - 1299









     Thank You For Showing Interest In Peconic Bay Marketing and Our Services. Please Fill Out The Form Below So That We Can Better Understand Your Company, Your Current Marketing Needs and How We Can Contact You.


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  Company Name:



 Your Name:



 Company Address:



 Your Email Address:


 How Did Your Hear About PBM? 


 What type of Industry Best Represents The Industry of your company?


 Please Check The Type Of Services That You Feel Peconic Bay Marketing, Inc. Could Help Fulfill Your Marketing Needs:


    Outbound Phone Solicitation                                      Database (New or File Cleanup)             


   Direct Mail Design & Services                                     Inbound Phone Services


    Software Design & Networking                                   Web Page Design




 Type Of Consumer That You Are Trying To Reach On This Campaign?


 What is your goal for this campaign?


 Number of Residences or Businesses You Are Trying to Reach in this Campaign?  (If applicable.)


 Timeframe for making a decision?



 Your Company Website? (If available)


 Additional Requirements:


 Additional Notes Or Comments:


 When is the Most Convenient Time For One Of Our Representatives to Contact You?


 What Day is Usually Most Convenient For You?