Intellirex Marketing

Video Production Marketing Request Form

 

Your Name (required)
Your Company
Phone Number (required)
E-mail Address (required)
Your Address (required)
Your City  (required)
Zip Code  (required)
Your State  (required)
Current Web Site (if applicable)

Please note:

  • Please fill in as many fields as possible.

Video Production Setup Request

Video Production Objective: (select as many as applicable)

Television or Cable Broadcast Production

Commercial or Infomercial

Sales/Telemarketing

Electronic Press Video

Internet Online Video

Trade Show

Product Demo/Showcase

Training/Educational

Virtual Sales Person

Other (please specify)

        

 

Video Production Location (location to be made): (required)

 

 

 

 

Finished Video Product Length: (required)

< 5 min

5 - 15 min

16 - 30 min

31 - 60 min

1 - 2 hours

Not Sure

 

 
Video Production Timeframe: (required)

ASAP

In Two Weeks

More Than Two Weeks

 

 
Video Script Writing Needs: (required)

Need Script Writing

Will Provide Your Own Script

Not Sure

 

 
Video Production Budget: (required)
(required)
Additional Services: (select as many as applicable)

DVD Format

HD High Definition Format

Streaming Media or Video Files

Multilingual Language Support

Other (please specify)

       

 

 

 

Additional Comments
Please provide us with any comments or special instructions for this video project.

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IMPORTANT NOTICE!

Intellirex Marketing respects your privacy and will NEVER sell or distribute your personal information to anyone, for any reason.

 


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