Production Form | The Experience Network at Florida Hospital

Production Form

Campus/Service Line *

Contact (name of rep) *

Phone *

Cell Phone

Subject *

Overall Goal *

Production

Will ad be provided camera ready? *

Will you need production services? *

Production Logistics

Do you have a specific commercial concept in mind? *

If no, would you like to see multiple concept ideas from our team?

Do you need assistance with script writing? *

Are you able to secure shot locations? *

If so, would you like our team to coordinate?

Are you able to obtain actors/talent/voice-overs if needed? *

Do you prefer make-up and hair for actors (if actors are used?) *

Make-up/hair artist will incur additional cost. Typical budget is $600/day.

Contact Info/Call to Action

What is your call to action? *

Website URL

Phone Number

Address (if applicable)

Logo (please send high res file in email)

Tag Line

Other identifiers