Video Production Request Form
Please submit this form at least 48 hours prior to your Production Date
Name
*
First Name
Last Name
Email
*
Confirmation Email
Phone Number
*
-
Area Code
Phone Number
I agree that if there is less than 48 hours notice between form submission Media Services cannot guarantee coverage of the event or project.
*
Yes
Date of Production
*
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Month
.
Day
Year
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Production Location
*
Time of Production
*
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:
Hour
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10
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50
Minutes
AM
PM
AM/PM Option
Until
until
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:
Hour
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10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Date Your Production Must Be Completed By:
*
-
Month
-
Day
Year
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If recording a guest speaker, have you obtained written permission to record and distribute their content?
*
Yes
No
Not Applicable
If "No" or "Not Applicable" explain why:
My Production Requires:
*
Recording of an event
Editing
Teleprompter
Graphics
Television Studio Use
Live Streaming
Describe your reason for choosing "Other"
Have your written a script? Please upload it here:
Upload a File
Cancel
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Describe the project or event and production requirements. Please include event details, e.g. speaker showing slides, panel discussion, etc.
*
How will your content be delivered to you?
*
Copied to my USB Drive
Burned to aDVD
Uploaded to YouTube/Social Media Account
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