Quorum Design/Graphic Help Tracker

This is the first step in creating collateral material like a flyer, rack card, brochure or social media post. Be sure to provide us with copy and any other materials we might need like photos. We should have your logos on file and will let you know if we don't.

My name is:

First and Last Name.. or a nickname if we know you well. But be sure we can figure out who you are in any event!

Email*

Date Submitted

Requested Due Date:

Hospital

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Phone Number*

This is for ...

We need to know if this is for an employed physician group or the hospital, etc.

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Will you be printing locally or with Emprint?*

Please input "Locally" or "Emprint"

Be Specific Now!

Input the name of your hospital, department, practice, etc. here.

I'm looking for:

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Description of what I need: (Be specific)

Please be very specific. Also, don't forget to attach your copy and any photos to this request. We can help you clean up copy but we can't write it for you!!

File Attachments

Here's where you upload copy and/or photos.

Drag and drop files here or

Copy Attached

I know we are being repetitive but we need you to supply copy!

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Tied to a campaign? What is the start date?

Urgency

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Send me a copy of my responses

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