Let’s Collaborate! Name * First Name Last Name Phone Number * (###) ### #### Email * Preferred Mode of Contact * Text Message Email Who/What is the Subject of this video? * Address of Filming Location * Address 1 Address 2 City State/Province Zip/Postal Code Country Fully describe the video you want to create * Estimated length of video * Filming Date If any date works, please leave this blank MM DD YYYY Additional Comments Pricing: $100 + $50 per 20 seconds of video. All purchases will be paid after the video is created. (i.e. A video of 40 seconds or less = $200) Check for a message soon under your preferred contact to set our production plan. I look forward to working with you!