Video Request Form

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Documentary and Short Film
Request Form

Client profile and objectives:

This Form cannot be submitted until the missing
fields (labelled below in red) have been filled in

Please note that all fields followed by an asterisk must be filled in.

First Name*

Last Name

E-Mail Address*

Country

What type of client do you represent

	Non-Profit
	Business
	Academic
	Other

Describe your film project

What are the primary objectives for the film?

	Increase awareness
	Boost funding for my organization
	Increase profits for a product
	Translate what my company does to the world
	Brand me or my organization through short documentary and emotional connection
	Tell a personal story near and dear to my heart
	Other

Who is the target audience for this film? (The more details the better including age, gender, income level, etc.)

Do you have a particular style in mind for your film? If so, please describe here and/or list a few YouTube links with examples.

What is your budget for this project?

	$4,500 - $8,000
	$8,000 - $15,000
	$15,000 - $20,000
	$20,000 - $25,000
	$25,000 - $50,000
	$50,000 +

What is the deadline for this project?

	1-2 months
	3-4 months
	5-6 months
	7-8 months
	9+ months

Please enter the word that you see below.

Next Steps:

Once you've completed filling in the form above, click the submit button and we will be back in touch with you within the next 24-48 hours to further discuss your project with you. We look forward to hearing from you!

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