Request Form

If you would like to use our video production services, follow these steps:

  1. Discuss your project with one of our video producers before completing the form.
  2. Type the information requested in the form below. Required information is marked with an asterisk (*).
  3. Select the Submit button. One of our video producers will contact you within a few days after you submit your information.
Contact Information
*Your name:
*Your phone number:
*Your department or company:
*Your billing address:
Your e-mail address:
Project Information

*Project description:

Briefly describe your project.

*Budget approval:

List the names of everyone who must approve the budget of your project.

*Product approval:

List the names of everyone who must approve the final product.

Other information:

List any additional information you think we should know.

Billing Information
*CUFS or P.O. number:

*Billing name:

Type the name of your Area CUFS accountant or the person we should contact about payment.

Billing telephone number:

Type the telephone number of your Area CUFS accountant or the person we should contact about payment.

*I understand that the United States Copyright Law (1976) requires that the non-original materials I use in the program(s) be in the public domain, or that I have written permission from the copyright holder to use the materials in the program(s).

Yes

Last modified Tuesday, 19-Jun-2007 15:43:26 CDT