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Video Request Form
Video Request Form
Contact Name
(Required)
Department/Organization
(Required)
Primary Phone Number
(Required)
Email Address
(Required)
Request Information
Project Title
(Required)
Due Date
(Required)
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Please provide a detailed description of the requested video:
(Required)
Please state the purpose of the requested video:
(Required)
Video Length
(Required)
Quantity
(Required)
Please select an aspect ratio.
(Required)
Widescreen – 16:9 (YouTube/Vimeo)
Square – 1:1 (Facebook/Instagram)
Other
If other aspect ratio, please specify.
Please select one of the following video formats:
(Required)
Feature Profile
Promotional Video/Commercial
B-Roll/Footage
Other
If other was selected for format, please specifiy.
Please select the form(s) of media this will be used with:
(Required)
Social Media
Broadcast Television
Website Embed
Non-Profit or For-Profit?
(Required)
Non-Profit
For-Profit
Please select the intended market(s):
(Required)
Advertising
Corporate
Editorial