Video Request Form
What is the name of your organization?
Contact Information
First Name
Last Name
Phone
Email
Address Line 1
Address Line 2
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Postal Code
What day do you want to shoot the video?
When does the project need to be completed?
What is the purpose for this video?
Who is the target audience?
Where will the video be shown?
Will the video be on-line? (Where and How long?)
Do you have a preferred location for the video to be filmed at?
Do you have a preferred wardrobe/attire for Pastor J.D.?
What is the requested length of the video?
Does the Summit Church need to produce the video?
Yes
No
Will you need Summit to edit the video?
Yes
No
Will you be providing talking points or a script for the video? If so please list below, including if J.D. will be talking to the camera or someone off camera.
Final talking points are due 2 weeks prior to video shoot.
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