Design Request Form
To best serve you, please complete all elements of the form.
About You
Please complete.
Your Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / 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?
*
-
Month
-
Day
Year
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.
*
Large Logo Design Package
Medium Logo Design Package
Small Logo Design Package
Simple Logo Design
Book Illustration
Illustration
Apparel Design
Brochure Design
Flyer Design
Banner Design
Business Card Design
Other (explain below)
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?
*
Signage on a Building
Website
Profile Picture
Social Media
Printing
Illustration
Apparel Design
Brochure Design
Flyer Design
Banner Design
Business Card Design
Upload any sketches, inspirational images, or other files pertinent to this request.
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What is your budget?
*
$500+
$1,000+
$5,000+
$10,000+
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. >
*
-
Month
-
Day
Year
Projection completion is based on current client workload, request complexity, and number of revisions.
Is your deadline flexible?
*
Please Select
Yes
No
How did you hear about Basement 20?
*
If via referral-please list name.
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