Diversity Day – Food Survey Contact InformationProject Title * RequiredProject Type (Select one) Single Video Video Series Target length? * RequiredHow many videos? * RequiredDeadline * RequiredContact Person * Required Department/Office Requesting Project * RequiredTelephone * RequiredEmail * Required What is the main goal of your video? Educate & Train Increase Brand Awareness Launch a Product or Service Increase Customer Base Other Please Explain * RequiredWhat is the primary message of this video?Who is the target audience of this video? Who do you want to see it?How will they find/view it?How would you like to receive or have your video displayed? ( Select all that apply) Web Upload (YouTube, Vimeo, etc.) Electronic File DVD Thumb Drive Other Please explain * RequiredWhat is the video's call to action? Visit website Call / Email Other Type website URL * RequiredType phone number or e-mail address * RequiredPlease Describe * RequiredWhat production elements are required? Voice-Over Narration On-Screen Interview B-Roll Footage Talent/Actors Graphic Overlays Music Other Please explain * RequiredWhat is the video's tone? (Select All That Apply) Energetic Relaxing Persuasive Informative Dramatic Emotional Other Please explain * RequiredBilling Contact Person * Required Telephone * RequiredEmail * Required Project DetailsFinal print sizeAre you supplying copy and/or artwork? * Required Yes [ upload your file(s) ] No Upload file(s) Drop files here or Select files Accepted file types: jpg, gif, pdf, ppt, pptx, doc, docx, Max. file size: 16 MB. Choose one billing option UT Chartfield NumberOper. unit*Department ID*Fund*Project*Program*67253*Class or Credit Card NumberCredit Card NumberMonth * Required010203040506070809101112Year * Required201520162017201820192020Signature * RequiredPlease type your name exactly as it appears on your credit card or Direct billing (non UTHealth)Company NameAddress AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific