Diversity Day – Food Survey Contact InformationProject Title*Project Type (Select one) Single Video Video Series Target length?*How many videos?*Deadline*Contact Person* Department/Office Requesting Project*Telephone*Email* What is the main goal of your video? Educate & Train Increase Brand Awareness Launch a Product or Service Increase Customer Base Other Please Explain*What 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*What is the video's call to action? Visit website Call / Email Other Type website URL*Type phone number or e-mail address*Please Describe*What production elements are required? Voice-Over Narration On-Screen Interview B-Roll Footage Talent/Actors Graphic Overlays Music Other Please explain*What is the video's tone? (Select All That Apply) Energetic Relaxing Persuasive Informative Dramatic Emotional Other Please explain*Billing Contact Person* Telephone*Email* Project DetailsFinal print sizeAre you supplying copy and/or artwork?* 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*010203040506070809101112Year*201520162017201820192020Signature*Please 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