Request to Use Aetna Logo (Others)

Thank you for your interest in using the Aetna Logo. Please complete the form below so that we can evaluate your request. 

All fields marked with a RED asterisk(*) are required in order to proceed.

1) Please enter your contact information
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2) Please answer the following questions

Check all that apply

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3) Please submit samples or Fax to 860-273-7764:

Email a sample (under 8 MB) of your intended use of the Aetna Logo as an attachment to LogoLicenseRequestBox@aetna.com. Please put your company name in the "Subject" line.

* Sample may be the copy for a radio or TV ad or the PDF file of a print ad or brochure.

 

To proceed you must read and agree to abide by the Terms of Use of the Aetna Logo by clicking on the Submit button below:

Information Sessions

Your request has been sent successfully if you receive a confirmation after clicking the "Submit" button.

 

Important! Please check this form carefully before clicking on the "Submit" button. Some browsers will not keep your information, and you will have to re-type all of it if you miss filling in any of the required fields.

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