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Company Name

Name

First Name

Last Name

Phone

(###)

###

####

Are you the decision-maker for approving the contract?

Yes

Decision Maker's Name and Title

How did you hear about me?

Type of Project

Website

Articles

Blog Posts

White Papers

Other

Brief description of proposed project:

Audience

Project Objective

How would you describe a successful outcome for this project?

Materials for Review

Interviews

Will you be providing primary sources?

Yes

Byline or Ghosted

Submission Process

Proposed Deadline (for individual assignments)

YYYY

Proposed volume of assignments per month

Budget Range

Additional Comments