Name:


Title:


Company Name:


Address:


Phone Number:


Fax Number:


Email Address:



Where is the shoot?

Location, if so, where? 
Studio
Location and Studio. If so, please explain below.




What format is desired?

Medium Format Film
4x5 Film
Digital Capture
Medium Format Digital Capture
Photographer's Choice


B/W or color images?

B/W Only Color Only Both


What is the desired final product?

Digital Files Prints Both


Briefly explain your photography needs.




How many seperate images/shots?




Do you have a layout/comp?

Yes No


What concept/message are you trying to communicate?




Who is the client?




Will there be talent hired and who will handle the casting of the models?

Talent will be hired, Client will cast models Talent will be hired, Photographer will cast models "Real People" will model, Client will cast models "Real People" will model, Photographer will cast models No models will be used

How will the photographs be used (time period, frequency, size)?




Where will they be published (region/country/world)?




How much money have you anticipated devoting to this assignment?

Unknown - Provide Estimate Up to $500 $500 - $1,000 $1,000 - $2,000 $2,000 - $3,000 $3,000 - $5,000 $5,000 - $10,000 $10,000+


Do you need exclusive use of the photos?

Yes No


Do you need unlimited use of the photos?

Yes No


Is there any additional information or comments you would like to add?