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Name*

First Last

This will be the person we contact with any questions related to this request.

Phone*

Email*

Mail Stop / Address*

Office*

Your Supervisors Name*

Which one of the following choices best describes your video request?*

In order to best meet your needs for this production, please answer the following questions:

1. What is the purpose of the program? Why do you feel video is the best medium to convey your message?*

2. What is the basic message you want to convey in your production?*

Reaction and Results Desired

3. What will the title of the program be?*

4. Who is the audience?*

5. How does the production support the goals and objectives of your office/district?*

6. Do you have a script or plan on creating one? If you have a script please attach it at the bottom of this form.*

Yes
Not Yet

7. At what locations will the program need to be taped?*

8. What is your desired completion date?*

What is the date of the meeting/event?

What time does the meeting/event start?

: HH

MM

Where will the event/meeting be held?

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Who will be the audience? How do you plan on distributing the video?*

What is the title of the DVD you want a copy of?*

How many copies would you like?*

How many VHS tapes do you need transfered to DVD?*

Do you need the transfers completed by a certain date?*

No
Yes

Is there any reason we need to put a rush on this?

When do you need the transfer(s) completed?*

Please deliver your VHS tapes to B26 (in the C.O.) or interoffice them to Joel Wenz (or) Gary Andrist at MS200. Additional contact information can be found at the bottom of this form.

What is the link of the video or webcast?*

How do you want the video delivered?*

DVD
Digital file via email
Other

If you want us to capture a webcast, please let us know how to register and the date and time of the webcast.

What is the working title of the program you would like changes to?*

What is the reason for the change?*

Please describe the changes you are requesting. Please include timecode when possible.*

IMPORTANT NOTE: A webcast is a transmission only and does not allow you to interact with your audience. A webcast can be live or pre-recorded. If you want your audience to interact with you during a live presentation you will need to use Lync. Please contact Desktop Support for assistance using Lync. If you have additional questions regarding the difference between Lync and a webcast feel free to contact us.

In order to best meet your needs for this webcast, please answer the following questions:

1. What is the purpose of the webcast?*

2. What is the basic message you want to convey in your production?*

3. What is the title of the webcast?*

4. How does the webcast support the goals and objectives of your office/district?*

5. When is your desired air date for the webcast?*

When do you need the camera?*

When will you be returning the camera?*

Please describe the reason for checking out a camera.*

Do you need a microphone, tripod or any other gear?

Is the video you want converted on a DVD, CD or a file on your computer?*

What format do you want the video converted to? (DVD, .mov, .wmv, etc.)*

If the file you want converted is on your computer, please try uploading it here.

If the file is too large to be uploaded or is on a DVD, please submit this form and inter-office the media to Joel Wenz or Gary Andrist at MS266.

Please describe your request and we will contact you shortly.*

1dot Minnesota Cinematic Wedding Films