Organization Name:  

Address:  

City:    State:   Please Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code:  

Contact Full Name:  
Title/Position:  
Phone Number:  
Email Address:  

Background Information

What is your product/service?  

Who are your primary clientele?  

How large is your service area
or product distribution:  

Who is your competition?  

Video Project Information

Who is your PRIMARY target audience?  

Who is your SECONDARY target audience?  

What is your objective (inform? demonstrate? promote?)

After watching your video, what should the viewer . . .

think?  
  feel?  
    do?  

How long will the video be?  

Who will . . .

write the script?  
narrate?  
be the on-camera talent?  

How many different shooting locations?  
Please list the different shooting locations:  

What kind of conditions are at the shooting location(s)? (lighting, noise, etc)

Will your video need Music, Special Effects, Animations and/or Props?

      If yes, please explain:

How will the tape be distributed and shown?  

Do you have a set budget for the project?  

Who makes the final decision and what is the process?

When do you need the finished video?