Website & LOGO DESIGN Form
Full Name
*
First Name
Last Name
E-mail
*
Purchase Date
*
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Month
-
Day
Year
Date Picker Icon
Name You Want For Your Website
*
Domain Name (IF ANY)
if you have a valid domain name e.g www.yourwebsite.com please indicate here.
VALID Mobile Phone Number
*
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Area Code
Phone Number.
LOGO DESIGN REQUEST (VIP MEMBERS ONLY)
Logo Name/Text
This will be the main name of your LOGO
Tagline (if any)
This is the text written under your logo (if you want any)
Please indicate any Colors, Fonts you prefer on your LOGO (if any)
Submit
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