Contact Information Contact Name: *Required Contact Email: *Required Contact Phone: Information to Appear on Magazine Ad Company Name: Logo: Yes, I have a logo I want to use. No, I don't need a logo to appear. No, but I am interested in getting a logo designed by EKD (extra) Name: Phone: Cell: Fax: Address: City: Select State: Alabama Alaska Arizona California Colorado Connecticut Deleware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Non - US Zip: List of Services: Other Info:   Note: The above information is just a starting point for us, once your job is started we will be going back and forth with you via email for more information/pictures/etc. that you want included. We don't send anything to print without your final approval. Page Setup Information (you would get this information from the publishing company of your ad) Bleed Size: Cropped Size: Safety Area Size: Color: 4 (full color) 1 (black/grey scale) Eye Kandy Designs - Marketing and Public Relation Questions *Optional How did you hear about Eye Kandy Designs? (please check all that apply)   Flyer / Mailer Magazine Article Search Engine Forum / Website Website Designed by EKD Facebook MySpace Twitter Other If referred to us by a company/someone in particular, please indicate below so that we may thank them.   Would you like to receive a once-a-month email Newsletter which includes discount coupon codes? No Thanks Yes