Video Production Request Form

Give a brief description of your video project

Check the services you will need.

• Scriptwriting
• Instructional Design
• Graphic Design
• Editing
• Graphic Inserts
• Audio Mixing
• Other

Specify other:

When do you want your project to be completed?

Primary contact person

Name

E–mail

Phone

Primary content expert (must work closely with the scriptwriter, producer, and director)

Name

E–mail

Phone

Submitted by (If different from above)

Name

E–mail

Phone

Institutional affiliation (department or program)

Billing Information

A pre–billing authorization stating estimated charges will be sent to the department head or financial officer for signature and Project ID Number. The signed billing authorization MUST be returned to VCS prior to scheduling. (See VCS Rates)

Name of department head or financial officer

E–mail

Phone Number

Fax Number

Department

Note: A billing authorization listing anticipated services and charges will be sent to you before video production begins. An authorized signature and Project ID Number is required. You must send the billing authorization back to VCS at Campus Box 7502 to confirm your acceptance of the charges. A University IDT will be processed immediately following the event.