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GOLD QR Code Order Form

QR code is for... *

Website URL Facebook Facebook Like Twitter

Please choose 1

Choose One *

Contact Details Phone Email Text Message

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Choose One *

V-Card Google Location Custom Landing Page

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* Indicates required field

URL or Target *

Upload Logo EPS File *

Max file size: 20MB

Required for GOLD and PLATINUM codes

Additional File *

Max file size: 20MB

Solid or Main Color *

Main color on GOLD and PLATINUM.

Secondary Color *

Colors must be within 30% of each other to scan properly. Dark colors are recommended.

GPS Coordinates for Map Location *

Will need the longitude and latitude coordinates for map location.

Name *

First

Last

Company *

Position *

Position needed for contact detail and V-Card.

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone # *

Fax Number *

Fax needed for contact details or V-Card.

Email *

Website *

Needed for contact details or V-Card.

Additional Notes: *

Submit

FCP - Forum Communications Printing and Cross Media, QR Price List

**Receive 250 FREE business cards or a FREE mobile landing page for coupons, special promotions, events and more with the purchase of a PLATINUM QR code.

Mobile landing page is limited to the size of a phone’s display area. Most pages will include a logo, title, image, and link to either your website or social media. The image can be used for a coupon or video. FREE hosting for 3 months.