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Mustang Memories
Please complete this form to indicate your interest in learning more about how Mustang International professionals can help you capture stories best told by specific loved ones.
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Contact Name
*
Please provide your name as the primary contact person for follow-up and coordination. This should be the name of the person completing this form.
Your answer
Interview Name
*
Please provide the name of the person who would be interviewed and documented.
Your answer
Relationship
*
Please provide a short description of the relationship between the project contact and the person to be interviewed.
Your answer
Contact Information
Please provide us with your contact information. A Mustang International professional will contact you to answer questions and/or schedule production dates.
Phone
Please provide us with at least one phone number. If you need to include comments about timing or preferences in using the number(s), please include that information.
Your answer
Email
Please provide us with at least one email address. If you need to include comments about timing or preferences in using the address(es), please include that information.
Your answer
Address
Please provide the address of the Contact - i.e. the person completing this form.
Your answer
Production Information
Please help us understand better what you would have us help you produce in the way of packages and location.
Mustang Memories Package
*
Please select which package you anticipate selecting. This is DOES NOT lock you into the selected package. We will confirm once we have addressed questions and confirmed that we will be able meet your expectations.
Choose
The Basic Package
The Advanced Package
The Story Package
Custom Package
Still Deciding, but I am Interested
Interview Location
*
What is the probable location of the video taping? If there will need to be multiple locations, please indicate. If you are uncertain, please state that.
Your answer
Interviewer
*
Please select an appropriate response regarding who will be prompting the interviewee with questions and topics to discuss.
Choose
Mustang Memories' Professional
Primary Contact
A 3rd-Party
A Combination of People
Questions or Comments
Please share with us any questions, comments, concerns or anything else not covered in the previous parts of the form.
Your answer
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