Design Request Form

This form is to be filled out by Clients of The CRx Group.

Use this form to request a customized Sales Deck (for pitching the prescription discount program to a new Organization), or to request any other customized designs for Marketing Materials (Rx Cards, Flyers, Posters, Etc.) for yourself and/or your Agents.

Design Request Form

REQUESTING PERSON INFO:

Your First Name

Your Last Name

CRx Group Client's Name (if applicable)

Your Email (use your RepHub email, if applicable) Design material proofs will be sent to this email for approvals and/or edit requests.

Your Phone Number

ORGANIZATION INFO:

Name of the Organization EXACTLY as it should appear on any materials (with proper spaces/capitalizations):

Organization's Website URL:

Organization's Address:

Street Address: Corporate headquarters, or main location (if multiple)

City

State

Postal / Zip code

If available, attach LOGO here. Please try to attach a large, high quality version of the logo.

Preferred logo file formats: (in order of preference) eps, pdf, svg, png, jpg

Upload Logo (Version 1)

Preferred logo file formats: (in order of preference) eps, pdf, svg, png, jpg

Upload Logo (Version 2)

Corporate brand colors, if known. These are the color CODES to match their exact brand colors. Preferred: HEX # Accepted: CMYK, RGB, or Pantone If not known, we can typically get them from the colors used on their website and logo.

ORGANIZATION CONTACT PERSON: (The CRx Group will keep this info on file, but the Client is responsible for all communications and approvals from their Organization Contact.)

First and Last Name

Title

Email

Phone

Any other comments or questions?

I understand that I will receive high resolution, printer-ready files and web resolution, screen-ready files. I will also receive a link to order my own printed material at a discounted rate, if I choose.*

I agree to the terms and conditions.*View terms

Submitting may take 10-30 seconds! Please do not leave this page or hit refresh.
You will receive a "Thanks for submitting!" pop-up message once your form has been successfully sent.

Design Request Form

Design Request Form

REQUESTING PERSON INFO:

ORGANIZATION INFO:

Organization's Address:

If available, attach LOGO here. Please try to attach a large, high quality version of the logo.

ORGANIZATION CONTACT PERSON: (The CRx Group will keep this info on file, but the Client is responsible for all communications and approvals from their Organization Contact.)

DESIGN MATERIALS:

Review and choose an option below for the Rx Card Design:

Copyright © CharityRx 2024.
All Rights Reserved.

Privacy Policy
Terms and Conditions