Logo Request Form

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Our Graphic design team will create two (2) separate customized agency
logos for you to choose from. The logo of your choice will be included
throughout your customized documents.

Please answer the questions below so we can start creating
your agency logos to choose from.

Agency Name

Order# (this was emailed to you)

Your E-mail (for us to contact you)

1. Please describe your ideal logo:

2. Any special symbols you would like included (example: stethoscope, hands, angel, heart, cross, house, medical symbol)

3. Please choose three (3) main colors for your logo

4. Any special font you would like us to use:

5. Please provide links or upload any sample logos or images you would like us to refer to.

(Optional) Upload a Logo or Image

Our Graphic Design Team

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