Request Form

1
Full Name* This field is required.
First Name
Last Name
2
E-mail* This field is required.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
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Didn't receive verification code?or
Receiving the email may take a few minutes, thank you for your patience!
3
Phone Number* This field is required.
4
Is this a new project or an alteration?For Other, leave field blank.
New projectAlteration to existing product
5
Purpose of InquiryPlease be as descriptive as possible. To include but not limited to deadlines etc.. If prior field left blank, describe here. Make sure to mention if you will need commercial rights to the design or customization. If you are not sure, (simplified) personal means it's just for you and you wont be trying to sell or make money from this design.
What are the primary goals of this product?
6
New Project MediumIf an Alteration, leave this field blank.
Digital Vector/Image Editing
Clothing
Poster/Print
Hats/Beanies - Headwear
Accessories - Pillows, Bags, Etc..
Blankets
Vinyl Decals
Other
7
Alteration or CustomizationInsert URL to posted product you wish to customize. If multiple options available, mention which option.
Please mention if your Customization requires embroidery.
8
Draft Text (or attach and submit file below)For BOTH new projects or other.
Write text in "quotations"
9
Text fileLeave blank if N/A.
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
Cancelof
10
Logos, Photos or Other GraphicsUpload ALL supporting images.
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
Cancelof
11
Approvals RequiredNotate if your designs/images need or if you hold Licenses or Content Approval Letters.
Please list all licenses, approvals, sources, permissions, or supporting documentation applicable.
12
Select a consultation date.* This field is required.Confirmation emailed if date is available. Alternate date request emailed if not.
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Preferred Start TimeStart Time For 1 Hour Consultation
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Terms and Conditions* This field is required.Terms & Conditions + Privacy Policy can be found on our website here: www.TheAstralMerchant.com
15
Intellectual Property and Legal Compliance Statement* This field is required.By signing below, I acknowledge and affirm that all information provided in the preceding sections of this form is accurate and truthful to the best of my knowledge. I confirm that I possess all necessary rights, licenses, and permissions to use the content that I have uploaded or provided, including any graphics, designs, or other intellectual property. I understand and accept that I am fully accountable for any legal issues or disputes that may arise from the use of this content, and I agree to indemnify and hold harmless any parties involved in the customization, alteration, or design process from any claims or liabilities related to the content. By affixing my signature, I commit to complying with all relevant laws and regulations, and I acknowledge that my responsibilities include addressing and resolving any legal discrepancies that might occur as a result of my submissions or requests.
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Intellectual Property and Legal Compliance Statement* This field is required.By signing below, I acknowledge and affirm that all information provided in the preceding sections of this form is accurate and truthful to the best of my knowledge. I confirm that I possess all necessary rights, licenses, and permissions to use the content that I have uploaded or provided, including any graphics, designs, or other intellectual property. I understand and accept that I am fully accountable for any legal issues or disputes that may arise from the use of this content, and I agree to indemnify and hold harmless any parties involved in the customization, alteration, or design process from any claims or liabilities related to the content. By affixing my signature, I commit to complying with all relevant laws and regulations, and I acknowledge that my responsibilities include addressing and resolving any legal discrepancies that might occur as a result of my submissions or requests.
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Request Submission NumberKeep This Number!
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