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Video Message Quote

Customer Contact Information

Name
Email	Please Enter A Valid Email
Phone Number
Contact Preference	Email Phone

Customer Questions

Will you be including any photos? If so, how many?

Enter a # Yes No

Will your photos be provided to us in a digital format (CD/DVD)?

Yes
No
Mixed

How many photos will require medium or severe restorations?

Do you want to add music to your Video Message?

Yes
No

Will your music be provided to us?

Yes
No

Would you like more than one song?

Yes (How many?)
No

Would you like more than one person interviewed? If so, how many?

Yes
No

If interviewing more than one person, will multiple locations be needed?

Yes
No

Would you like to add video footage to your Video Message? No Yes
If adding video, select duration and amount
0-15 seconds # of clips?	15-30 seconds # of clips?	30-45 seconds # of clips?	45-60 seconds # of clips?	60+ seconds # of clips?

Would you like additional DVDs of your completed Video Message?
No Yes (How many additional copies would you like?)

Would you like a iPod/iTunes compatible copy?
No Yes

The information you provide will only be used by Golden Fox Productions and will not be sold or sent to any third party