Graphic & Website Design Form
Please fill out this form for all graphic and website design services.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
What is your business name?
*
What is your business tagline?
*
Current logo
*
Browse Files
Drag and drop files here
Choose a file
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Have you already established a color scheme? If yes, please provide hex codes.
*
What is your business Web Address?
*
All contact info (email, contact phone, mailing/physical address, etc.)
*
If web design or Instagram revamp, what is your login information? (Include username, email, password, etc. - make sure this information is complete and accurate)
*
Describe your business - Business overview
*
Pictures to be incorporated into design(s)
Browse Files
Drag and drop files here
Choose a file
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of
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Business Facebook Name/Link
*
Business Instagram Name/Link
*
Additional Social Media Links
*
Do you give LIC Marketing & Design consent to post designs for promotional purposes?
*
Yes
No
I have read LIC Marketing & Designs POLICIES/FAQs and I agree to the terms and conditions (Please read our Policies/FAQs before checking this box)
*
I agree
Please review the website checklist to review additional items/information required to complete your project
*
I have reviewed the checklist
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