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Cosmic Deriviations, LLC
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Intake form
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Name
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Email address
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What services are you interested in?
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Media content creation
Promotions
Marketing
Advertising
Filming
Editing
Directing
Producing
What is your business type?
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Small Business
Entrepreneur
Musical Artist
What is your budget range?
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Under $500
$500 - $1,000
$1,000 - $5,000
$5,000 - $10,000
Over $10,000
What is your desired timeline for project completion?
Please describe your project or vision in detail.
How did you hear about us?
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Social Media
Search Engine
Referral
Event
What is your preferred method of communication?
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Email
Phone
Text Message
In-Person Meeting
Do you have any specific examples of work you admire or wish to emulate?
Which service or services are you interested in?
Please select at least one option.
Media content creation
Promotions and marketing
Filming and editing
Branding, logo assistance
Sound engineering, or music recording, and production
Additional questions or comments
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