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Logo Request Form
Request a Penn Medicine Logo
Contact Information
First Name
First Name must have at least 0 and no more than 256 characters.
The value of the First Name field is not valid.
*
Last Name
Last Name must have at least 0 and no more than 256 characters.
The value of the Last Name field is not valid.
*
Email Address
Enter a valid email address.
*
Phone
Enter a valid telephone number.
*
Entity/Company Name
Entity/Company Name must have at least 0 and no more than 256 characters.
The value of the Entity/Company Name field is not valid.
*
Department
Department must have at least 0 and no more than 256 characters.
The value of the Department field is not valid.
Relationship to Penn Medicine
(e.g., employee, outside vendor, etc.)
Relationship to Penn Medicine must have at least 0 and no more than 256 characters.
The value of the Relationship to Penn Medicine field is not valid.
Logo Information
Format
JPG
BMP
EPS
GIF
Other (please describe below)
*
If OTHER, please describe
If OTHER, please describe must have at least 0 and no more than 512 characters.
The value of the If OTHER, please describe field is not valid.
Platform
PC
Mac
*
Size Needed
2 inches
4 inches
Other (please describe below)
*
if OTHER, please describe
if OTHER, please describe must have at least 0 and no more than 512 characters.
The value of the if OTHER, please describe field is not valid.
Color
Full Color
Black and White
*
Purpose
(please describe in detail)
Purpose must have at least 0 and no more than 512 characters.
The value of the Purpose field is not valid.
*
Agreement
Please check to agree to the terms
I understand that Penn Medicine logos should be used exactly as provided by the Marketing Department, and should not be skewed, stretched, stylized, rearranged, or otherwise modified. In addition, logos should never be presented in any way that would be damaging to the identity and reputation of Penn Medicine.
*
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