ura.design/request.html

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      <h3>Email Us</h3>
      <p>Convinced yet? If you need some design magic for your open source project, send us your submission so we can help you. Don’t worry if you are on a tight budget!</p>
  <p>Fields marked with an * are required.</p>
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            Thanks for contacting us, we'll be in touch soon!
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              <p>Project name: *<br />
          <input class='required' name='project name' placeholder='Project Name' type='text'></p>
              <p>Requester Name: *<br />
          <input class='required' name='name' placeholder='NAME' type='text'></p>
              <p>E-mail: *<br />
          <input class='required email' name='email' placeholder='EMAIL' type='text'></p>
              <p>What services do you need? *<br />
              <input type="checkbox" name="Logo" value="1"> Logo/Visual Identity<br />
              <input type="checkbox" name="Style Guide" value="0"> Style Guide<br />
              <input type="checkbox" name="Consultancy" value="0"> UX Design & Consultation<br />
              <input type="checkbox" name="Copywriting" value="0"> Copywriting<br />
              <input type="checkbox" name="Usability" value="0"> Usability Audit<br />
              <input type="checkbox" name="Research" value="0"> User Research<br /></p>
              <p>Tell us about your project with how much or little information you want to share: *<br />
                    <textarea class='required' name='message' placeholder='Details'></textarea></p>
              <p>Usability Lab<br />
              Are you interested to apply for Open Tech Fund's Usability Lab if your project meets the criteria? Read more <a href="https://www.opentech.fund/lab/usability-lab" target="_blank">here</a>:</p>
               <input type="radio" name="lab" value="yes"> Yes<br>
               <input type="radio" name="lab" value="no"> No<br>
              <p>Budget (USD $)<br />
                    <blockquote>If you are not meeting the Usability Lab criteria, let us know what your budget is. We will get back to you afterwards. Alternatively you can also ask a quote by contacting us. </blockquote>
                  <input class='required' name='budget' placeholder='0' type='number' min="0" max="9999999"></p>
            <p><strong>We partnered with Stickermule which supports many Open Source projects already! All approved projects can choose to receive a $50 Stickermule coupon to get started</strong>.</p>
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