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Custom Video Request Form
Custom Clip order form
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Video Length
*
Choose
5 mins- $150
10 mins- $300
15 mins- $425
Basic Outline
*
Your answer
Any specific phrases you would like me to use? Any Not to use?
*
Your answer
Clothing or Make up/ Hair / nail Request? ( Note anything requiring extensive prep will have a fee of $30)
*
Your answer
Would you like your name included?
*
Choose
No- $0
Yes- $50
Would you like this video to be exclusive?
*
Choose
No- $0
Yes- $500
Other special request:
*
Choose
Topless- $300
Nude- $600
Requires a camera person- $150
Extensive Script- $500
No Special Requests - $0
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