Video Creation/Syndication 3 Video Package

Video Syndication 3 Videos Package Form

    YOUR First Name (required):

    YOUR Last Name (required):

    YOUR Phone Number (required):

    YOUR Email (required):

    YOUR Website:

    YOUR Logo (If this is your first client:

    Client's First Name:

    Client's Last Name:

    Client's Business Name (required):

    Client's Logo:

    Business Tag Line:

    Client Website:

    Business City to Target:

    Business Phone (required):

    Do you want us to add our own tracking number for the above number?


    Business Niche:

    Features of Business (ex: licensed, bonded, fully insured, etc):

    Video Information

    Would you like us to create a YouTube Channel?


    If no, please fill this out:

    Youtube URL:

    Youtube Username:

    Youtube Password:

    Your Keyword Phrases: