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<label>Name Title</label>
[text name-title]

<label>Phone</label>
[text phone]

<label>Email address</label>
[text email-address]

<label>Website</label>
[text website]

<label>Best way to contact</label>
[text best-way-to-contact]

<label>Tell us about your company</label>
[textarea tell-us-about-your-company]

<label>Who are your main competitors</label>
[textarea who-are-your-main-competitors]

<label>Who is your target audience male vs female age range</label>
[textarea who-is-your-target-audience-male-vs-female-age-range]

<label>interests buying habits income level etc</label>
[textarea interests-buying-habits-income-level-etc]

<label>Who are your main competitors_2</label>
[textarea who-are-your-main-competitors_2]

<label>What are your annual sales How many employees do you have</label>
[textarea what-are-your-annual-sales-how-many-employees-do-you-have]

<label>TVRadioPrintDigitalOutdoor</label>
[textarea tvradioprintdigitaloutdoor]

<label>Do you know if it was effective How</label>
[textarea do-you-know-if-it-was-effective-how]

<label>Facebook</label>
[checkbox facebook “Facebook|On”]

<label>Instagram</label>
[checkbox instagram “Instagram|On”]

<label>YouTube</label>
[checkbox youtube “YouTube|On”]

<label>Twitter</label>
[checkbox twitter “Twitter|On”]

<label>Snapchat</label>
[checkbox snapchat “Snapchat|On”]

<label>LinkedIn</label>
[checkbox linkedin “LinkedIn|On”]

<label>Yelp</label>
[checkbox yelp “Yelp|On”]

<label>What are your longterm goals</label>
[textarea what-are-your-longterm-goals]

<label>Do you presently have a marketing plan</label>
[textarea do-you-presently-have-a-marketing-plan]

<label>What are your marketing objectives</label>
[textarea what-are-your-marketing-objectives]

<label>What is the main purpose of this video</label>
[textarea what-is-the-main-purpose-of-this-video]

<label>TV Commercial</label>
[checkbox tv-commercial “TV Commercial|On”]

<label>Web video</label>
[checkbox web-video “Web video|On”]

<label>Video for social media</label>
[checkbox video-for-social-media “Video for social media|On”]

<label>Digital advertising</label>
[checkbox digital-advertising “Digital advertising|On”]

<label>Training video</label>
[checkbox training-video “Training video|On”]

<label>Employee orientation</label>
[checkbox employee-orientation “Employee orientation|On”]

<label>Product demo</label>
[checkbox product-demo “Product demo|On”]

<label>Howtovideo</label>
[checkbox howtovideo “Howtovideo|On”]

<label>Music video</label>
[checkbox music-video “Music video|On”]

<label>TV Pilot</label>
[checkbox tv-pilot “TV Pilot|On”]

<label>Sizzle reel</label>
[checkbox sizzle-reel “Sizzle reel|On”]

<label>undefined</label>
[checkbox undefined “undefined|On”]

<label>Other If other explain below</label>
[textarea other-if-other-explain-below]

<label>Are there any video samples that you like or want something like</label>
[textarea are-there-any-video-samples-that-you-like-or-want-something-like]

<label>What is your production Budget Ballpark</label>
[textarea what-is-your-production-budget-ballpark]

<label>What is your media budget Adspace</label>
[textarea what-is-your-media-budget-adspace]

<label>What is the deadline for this project</label>
[textarea what-is-the-deadline-for-this-project]

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