Name *

First Name

Last Name

Are you open to collaborations offering products and services, or do you exclusively seek paid opportunities? *

Products and services

Payment only

Would you like us to keep your information on hand to refer you to our clients seeking video content and exposure? *

Yes

No

What kind of content do you specialize in? *

Chicago business

Fashion

Other

Electronic Signature Consent *

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. there is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any chances, if necessary.

I consent