CIE Media Request Form
In order to receive media services from our team, please fill out this form.
Your name *
Your answer
Company name *
Your answer
Phone number *
Your answer
Email *
Your answer
What is your affiliation with the CIE? *
Are you affiliated with UNCW? *
Pick the answer that best describes you.
What service(s) are you requesting? *
Check as many as applicable. Hourly rates apply to projects that will take more than an hour to complete.
Required
Audience(s) *
Who are you trying to reach?
Required
What is your overall budget? *
Pick a place on the scale that best describes your budget.
< $50.00 (2 hours)
> $300.00 (12 hours)
Detailed Description of project *
(commercial, interview, photoshoot, etc.)
Your answer
What is the desired outcome of this project? *
Your answer
Requested completion date *
When do you need the final product by?
MM
/
DD
/
YYYY
Please provide us with any additional information that will help us meet your project needs better.
Your answer
Please be advised:
The CIE Media intern will receive your request and email you back as soon as possible, usually within 48 hours.
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