19dollarlogos.com Header Design Order Form
For questionnaire guidelines please visit http://www.19dollarlogos.com/order.php

THE QUESTIONS MARKED WITH (*) ARE MANDATORY

(*) 1. Your Name:

(*) 2. Your e-mail address - please insert 2 or 3 email addresses if possible:

(*) 3. Your header design package - 1 or 2:

(*) 4. Your Company / Web Site / etc name: 

(*) 5. Your web site address - put N/A if your site is still under construction:

(*) 6. Header dimensions - stretchable or fixed sized, header width (px) if fixed sized, height etc - you may leave this field blank if you are ordering header for live site or you can show us site template that you are going to use: 

7. Please let us know some about your company / web site - what you do, target audience...:

8. Anything else we should know - slogans, specific requirements, your preferences…: