Quote form and worksheet for custom video production

Broadcast & Corporate Video Production Contact Form
Please fill out the following form to help us understand your
video production needs prior to a consultation or price quote.

CONTACT INFORMATION

Name
Company Name
Phone
Email

VIDEO PRODUCTION INFORMATION

What type of video do you need?

Marketing/Promotional/B2B Sales

Training/Orientation/Safety

Speech/Seminar/Talking Head

Broadcast Commercial/Infomercial

Not-for-Profit Fundraising Video

Footage only/B-Roll aquisition

Who is your target audience?

Approximate length of video?

Deadline for completion or shoot date?

List other items you are interested in. Check all that apply:

Streaming Video	Authored DVD	Video CD
VHS duplication	DVD Duplication	CD Duplication

APPROXIMATE BUDGET (AMOUNT WILLING TO INVEST)

We realize this is a scary one to answer, but the more honest and realistic the approach, the closer we can get to your goal of a stellar product with just the right amount of investment. Integrity, transparency and ongoing relationships are some of the core tenets we adhere to at PixelPops!

*Note: submitting this amount does not determine the final video price, instead it simply works as a guide to better determine the production value we can offer in preparing an initial quote for you.

$2,000 - $5,000

$5,500 - $11,000

$11,500 - $17,000

$17,500 - $25,000

$25,500 - $50,000

$50,500 - $100,000+

Describe details of your project and add comments here: