The Logo Factory - Add-on Design Submission Form

Order ADD-ON DESIGN via the following form. Please complete the following fields and select the service(s) you wish to purchase. After submitting project information you will be directed to our secure server for payment. Complete the form below (fields with

are required). You may also submit your project using our FAX order form

In order to protect the security of all credit card information, all orders are processed exclusively by InternetSecure via secure encrypted server.

To order in $CDN use this form

First Name:			Last Name:
Address:			City:
State/Province:			Country:
Zip/Postal Code:
Daytime Phone Number:			OR Night Phone Number (if preferred):
			Certain projects will require phone verification before project can be scheduled or assigned. Please include area code so that our client support department can contact you.

Your E-mail Address:			Domain Name (if applicable/available):
For additional client security, any projects submitted from a free e-mail account (i.e. - Hormail, MSN, Lycos, Caramail) will require phone authorization before scheduling.
Primary Decision Maker for this project (if different from above):			Primary Decision Maker e-mail (if different than yours):

Where found : i.e. Yahoo!

Important Information:
After submitting this form, you will be forwarded to our Payment Information and Package selection page. By checking the box below, you agree to The Logo Factory terms & conditions as well as our terms of use. Certain projects will require a signed authorization form (available upon submission) sent to our TOLL-FREE fax authorization line. Please note: any projects submitted from anonymous e-mail accounts (hotmail.com, msn.com, etc.) are subject to telephone confirmation before project can be scheduled in our production department.

I have read and accept The Logo Factory's Terms and Conditions.
Note: ALL submission and payment IP#s are logged.

Security Code

Please enter text as above

Sales Code (Rep Use Only):