HealthLink Logo Request Form


Please complete the fields below to submit your request for a HealthLink logo. After you submit your information a contract outlining HealthLink logo usage requirements will be faxed to you. If you are in agreement with the terms, please sign and return the contract by fax to the number indicated on the contract. Once we have received your signed contract, we will send you an electronic logo file by email.

Requester Name:
Requester Phone Number:	- - x
Requester Fax Number:	- -
Requester E-mail Address:

Company:
Address:
City:
State:
Zip Code:

What will you be using the logo(s) for:
Choose the logo(s) that you require:

Choose the color(s) that you require:	Black and White Color
Choose the file format(s) that you require:	.jpg (JPEG) .tif (TIFF) .bmp (Bitmap) .ai (Adobe Illustrator)

Friday, July 04, 2008

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