Engagement Information Form

Your Name: *

Your Company (if applicable):

Your Email: *

Phone Number: *

Your Affiliation to the Event: *

Name (or type) of Event:

Location of Event (Venue): *

Location's (Venue's) Physical Address: *

City State —Please choose an option—ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip
If you have a contact at the venue what is their name?

If you have a contact at the venue what is their phone number?

If you have a contact at the venue what is their email?

Description of the event/engagement: *

The format/setting of the space:

Date/time of event *
—Please choose an option—JanFebMarAprMayJunJulAugSeptOctNovDec—Please choose an option—010203040506070809101213141516171819202122232425262728293031—Please choose an option—12:00 AM12:30 AM1:00 AM1:30 AM2:00 AM2:30 AM3:00 AM3:30 AM4:00 AM4:30 AM5:00 AM5:30 AM6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM10:30 PM11:00 PM11:30 PM
Expected duration of event (in hours): *

Desired output for the project: *
Audio/Visual Support Services (A/V amplification/projection)PhotosMoving pictures (many short video clips for use at a later time)Interview style news segmentPodium coverageDocumentary style coveragePre-produced original dynamic eventOther (Please leave notes in 'Additional Information' below.)
What are your goals for the content we are creating/capturing? *

Please link (&/or attach below) to any past or similar examples of what you are seeking:

Attach a file:
Acceptable attachments:
bmp, doc, docx, gif, jpg, jpeg, pdf, png, ppt, pptx, psd, tif, txt, xls, xlsx
Any additional information you wish to provide:

Please leave this field empty.