Visuals by McKenzie Channel Order Form

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Have you ordered with us before?* This field is required.
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2
Full Name* This field is required.
First Name
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3
Phone Number* This field is required.
Area Code
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4
E-mail* This field is required.
5
Delivery Address* This field is required.
Street Address
Street Address Line 2
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State / Province
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Afghanistan
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Laos
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Liberia
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Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
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Mauritius
Mayotte
Mexico
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Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
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Nigeria
Niue
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Northern Mariana
Norway
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Palestine
Panama
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Philippines
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Poland
Portugal
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Republic of the Congo
Romania
Russia
Rwanda
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Saint Helena
Saint Kitts and Nevis
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Samoa
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Somalia
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eSwatini
Sweden
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Syria
Taiwan
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Tanzania
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Tokelau
Tonga
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Turkey
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Vietnam
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Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
On what date is your design needed?*Please note that anything that is less than one week from the submission date will be categorized as an express order. Your product(s) will be delivered to you via preferred method of delivery by 5:00 p.m.
Date
Year
Month
Day
7
Would you like to purchase Copyrights & Media Release for your order?Please note that if copyrights are not purchased, will not be able to reproduce or post the visual(s) produced by our company. Please consider purchasing the copyrights , if you'd like to print or re-produce your design, otherwise our company holds sole ownership of the Design. In some cases copyrights & media releases are included in your package.
YESNO
8
What Information/Verbiage would you like on your design? Please be thorough in your explanation. Please note that if you have prepared a word document,PDF, or image file you may upload it at the end of the order form.
9
Is there a specific color and/or theme you would like to use for your design? If no, please enter N/A.
10
What services would you like provided?You may select multiple options. Please note that some services may require additional information before receiving an estimate. A representative may contact you, once your form has been submitted. Please list other page dimensions in the response labeled "other".
Full Page Design (8.5x11)
Half Page Design (8.5x5.5)
Social Media Flyer
Business Cards (Please specify count in the "Other" Option)
Booklets or Programs
Presentation Slide Pack (Includes 3 Slides)
Website Creation
Photography Session(s)
Video Editing and/or Processing
Photo Editing and/or Processing
Logo Creation
Funeral Program Design
Other
11
Is there any additional information we need to know about your design? If no, please enter N/A.
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Large
Normal
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Ok
Ok
12
Please upload any files you'd like for your design to have. (Including pictures, word documents, backgrounds, Etc.) Please note that you can only upload 10 items to the form! All other media forms can be emailed to: info@visualsbymc.com
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Max. file size: 10.6MB
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