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* 1. Name

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* 2. Email

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* 3. Company Name

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* 4. Company Website

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* 5. Tell us about your product.

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* 6. What is the model number of the product you are requesting?

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* 7. Are you requesting more than one product for review?

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* 8. Are we able to select our choice of products from your product line?

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* 9. What type of product review video are you interested in:

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* 10. Would you like more than one video in this collaberation?

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* 11. What is your budget for the project?

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* 12. When would you like the video to be completed by?

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* 13. Are you loaning Think Media the product or sending for us to keep?

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* 14. Anything else you would like us to know?

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