Order Form Copy - Melted Lens Media

Client Intake Form

Fill out the form below, tell us a little about your project. The information will help us understand your project better, and enable us to

Full Name *

Company Name

If applies.

Field *

If you’re ordering for a business, what is your industry?

Email address *

Phone Number

Who is in charge of oversight and approval?

Please provide their Name and contact information if deferent from above.

Is this order part of a bigger project you're working on?

What's the purpose of the video?

Who is your target audience?

How will the final video be hosted, distributed? *

YouTube

Instagram

Facebook,

TikTok

Corporate intranet

Other

YouTube, Instagram, Linkedin, Facebook, TikTok, Corporate intranet, Other.

If your answer above was "Other", please describe how you will be distributing your video. *

Is your video part of a strategy or campaign? *

What camera was used? *

What make and model camera was the footage shot on?

What goals are you looking to achieve with this project? *

By when do you need this project completed? *

What’s your budget for this project? *

Is there anything else we should know?

Message *