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| Custom Banner and Logo Design Order Form

Select the desired custom design items.

Item Description
Style/Selection Choice
  Additional option [scanning]:   $
  Custom Design Order Total:   $
Please fill out your complete order information below.
Company Name:
First Name:
Last Name:
City, State, Zip:   
Web Site URL if any:
Do you have any images or a logo available?  Yes No
If no, would you like to order professional stock images to illustrate your design? Yes No (will use shape design)
If yes, how will you be providing them to us?
By Email  By Postal Mail* Web Location Attached below:
*Photos provided by Postal Mail will be scanned for an additional $50

Attach Image 1
Attach Image 2
Attach Image 3
Attach Image 4
Attach Image 5

In order for us to find the most efficient way of attracting visitors to your website and/or attract their uttermost attention to your listing, please provide us with the most detailed information which will give us a clear idea of your goal and what the concept should focus on.
Describe in a few
words the message
you would like to
convey to viewers
Exact words
you wish to display
on the banner:
Any ideas, color style or special requests
you may have:
Your logo or
images to use
for your designs:

Please enter the web location of your files and/or describe respectively what kind of images you would like to use in the above box.

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