UGC Request Form

Name *

First Name

Last Name

Phone *

(###)

###

####

What type of content would you like for me to create for you? *

Instagram Reels/Tik Tok Videos

YouTube Video

Webinar for our community

What type of packages are you looking to purchase? *

Select all that apply

1 video

3 videos

5 videos

Annual Retainer (at least one deliverable/per month)

Do you need usage rights? *

Yes

No

Do you want access to the raw footage? *

Yes

No

How many revisions would like access to? *

No need for revisions

1 round of revisions after the initial deliverable is sent

2 rounds of revisions after the initial deliverable is sent

Are you interested in having the content posted on my platforms as well? *

Yes

No