CKx Design Graphic Design Request Form

If you would like someone to contact you about design work, simply fill out the following
questionnaire. Please provide as much information as possible to help our staff better
understand your needs.

Main Contact Name:

Authorized Contact:

Company Name:

E-mail:

Phone:

City:

State:

What is the nature of your business?

Type of Design:

Tell us about your project:

Has budget been established?

If yes, what is your budget?

What immediate goals for your project

Are you going to need custom designed artwork?

What content material or artwork will be provided?

Special color and font request:

How did you hear about us?

Is there a deadline date that needs to be met?

If Yes, what is the deadline?

MonthDayYearHourMinutesAM/PM Option

Please type the word in the box: