Custom Video Quote Request Form:

Your name:

E-mail address:

Phone:

What product are you purchasing?
Select One Custom Feature Video Custom Web Cam Video Custom Love Video Customization of any Standard Video

If ordering Custom Feature or Custom Web Cam, what 
main color scheme would you like?
Select One Red Blue Yellow Green Orange Purple Brown/Earth Tones

What industry does your video market to?:
Select One Home-Business - general Travel Industry Software Industry Marketing System Financial Services Health and Wellness Real Estate Other - specify industry below

Do you have photos or files to include?:
Select One Yes - personal photos/files No - personal photos/files

What is your current web address for your business / capture page?

Do you want voice-over on your video?
Select One Yes - voice over No - voice over

If customizing a Standard video, which one?:

Where will your video be used?
Select One Lead Capture Page On personal website On video site, ie. YouTube, etc.

Do you want video controls on your video
(these allow your viewer to easily "stop", "pause,"
"rewind," etc. your video during playback - not recommended for posting to video hosting sites like You Tube)?:
Select One Yes - Add Controls No - No Controls, Please

In what format would you like your video?
(video hosting sites require .wmv or .mov):
Select One SWF Flash .MOV (Quicktime) .WMV (Windows Media) .RMV (Real Player)

How would you like your completed video transferred
to you?:
Select One I'll download it from your servers Please upload it to my server email (if not too large) Mail it on a CD-ROM

Please include any needed information below, such as
upload instructions if we'll be uploading your video,
mailing address if we'll be mailing  it, the url where
your custom photos or files can be found, any special
requests, etc.: