Landscaping Carbonless Copy Door to Door Sales Order Form

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This customer received 26 print designs from 6 designers. They chose this print design from uniquedesign10 as the winning design.
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Print Design Brief
I need an order form created for my landscaping company. It will be used when we go door to door to make sales. This form will be used as a two part carbon-less copy form, so that when we write on the form at the door of a prospective customer we both can keep a copy of the information. The first file attached is a copy of a competitors form and sort of an example of how I would like ours to look. The second file is the writing that I want to incorporate on mine, since it will be a little different than the competitors services. It is not exactly how I want it to look so feel free to rearrange things to look good. I believe how the first example has it, the areas in which we will write things in will be white, and the surrounding areas will be colored. Green is good for the main color scheme. The third file will be the logo I want attached. I have the logo in various other files if you need.
Target Market(s)
Upscale Residential
Industry/Entity Type
Landscaping
Font styles to use
Colors
Colors selected by the customer to be used in the logo design:
Look and feel
Each slider illustrates characteristics of the customer's brand and the style your logo design should communicate.
Elegant
Bold
Playful
Serious
Traditional
Modern
Personable
Professional
Feminine
Masculine
Colorful
Conservative
Economical
Upmarket
Requirements
Must have
- Logo, address, phone number, website, usable table for completing sales.
- The two main plan options should have a box you can check to receive and then a box to write in the price for prepaid and the price per visit. The additional services should also have a small box next to them so that you can check to receive, notes should also be in a box, remember this is an order form and needs to be functional, look to the example as a guide.
Nice to have
- Area to take notes and add extras, if you need to fill in more space you can put a referral box and offer to recieve 50 credit to your account for referring a paid customer.
Should not have
- a Cheap look