Design Request

Design Request Form

To best serve you, please complete all elements of the form.
About You

Please complete.
Your Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
About Your Business

The more information you provide, the better your designs will be.
What is your business name?
If you do not have a business name, please type "N/A."
When was your business established?

MonthDayYear
If this is not a request for a business, please choose today's date.
What is your business industry?
(Example: construction, marketing, health care, entertainment, etc.) If none, please type "N/A."
What three words would you use to describe your business?
If this is not for a business, please type "N/A."
Business Tagline/Slogan
(Example: Nike: “Just do it.”) If none, please type "N/A."
Mission Statement
If none, please type "N/A."
Vision Statement
If none, please type "N/A."
Purpose Statement
If none, please type "N/A."
What products or services do you offer?
If none, please type "N/A."
What is your client demographic? Who is your target audience?
If none, please type "N/A."
Who are your competitors?
If none, please type "N/A."
Where do you see your business in the next 5, 10, and 20 years?
If none, please type "N/A."
Website
If none, please type "N/A."
Instagram
If none, please type "N/A."
Facebook
If none, please type "N/A."
LinkedIn
If none, please type "N/A."
Other Accounts
If none, please type "N/A."
About Your Request

The following information is extremely important in delivering the best results to you.
What design services do you need? You can select multiple.
Describe your project needs in detail.
The more detail you provide, the better your design results will be.
How do you plan on using your final designs?
Upload any sketches, inspirational images, or other files pertinent to this request.

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What is your budget?
Please provide an explanation of your budget and specifics you would like to provide prior to getting started? See the note below. >
Include your maximum budget amount. Payment plans are available. Your request requires 50% of the cost up front and is non-refundable.
What is your project deadline? Please provide no less than two weeks from today's date. See the note below. >

MonthDayYear
Projection completion is based on current client workload, request complexity, and number of revisions.
Is your deadline flexible?
How did you hear about Basement 20?
If via referral-please list name.
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Design Request Form

About You

About Your Business

About Your Request