Video Ad Intake Please fill out the form below to provide our Design department with all the information they’ll need to create your Video Ad. ~Position Edge Video Ad Intake Form Name* First Last Title*Email* Business Name*Phone*Business Category*Select Business CategoryAccounting, Auditing, & Bookkeeping ServicesAcupuncture & AcupressureAdvertisingAerial PhotographyAffiliateAfter School ProgramsAir Cleaning & Purifying Equipment DealersAir Conditioning ContractorsAir Conditioning RepairAir Duct CleaningAlarm ServicesAnimal SheltersAntique DealersArchitectural ServicesAudio Hearing Aid ServicesAuto Body ShopsAuto DetailingAuto Electrical RepairAuto LeasingAuto MotiveAuto PartsAuto RecyclingAuto RestorationAuto Title LoansAuto UpholsteryBail Bond ServicesBankruptcy LawyersBankruptcy ServicesBeautyBee Control & Removal ServicesBlinds Installation, Cleaning, & RepairBusiness ConsultantsBusiness Consulting ServicesBusiness FinancingBusiness InsuranceBusiness ManagementBusiness MarketingBusiness ServicesCall CentersCar AccessoriesCar AlarmsCar DealersCar InsuranceCarpentersCarpet CleanersCarpet InstallationCarpet, Rug, & Upholstery ServicesCatering ServicesCeramic Tile ContractorsCeramic Tile Installation & RepairCertified & Registered Massage TherapistsCertified Public AccountantsChild Care ServicesChiropractor ServicesChurchCivil Law AttorneysCleaning Equipment & Supplies RetailCleaning ServicesCloset Design & RemodelingCloset Systems & OrganizersClosets & Closet AccessoriesCommercial Air ConditioningCommercial Car RentalCommercial HeatingComputer SecurityComputer SoftwareComputers & ElectronicsConcrete ContractorsConcrete Driveways & SidewalksConcrete Repair, Restoration, Cleaning, & Sealing ContractorsConstruction & ContractorsConstruction CompaniesConstruction Equipment RentalConstruction Materials & SuppliesCorporate Business AttorneysCosmetic DentistsCriminal Defense LawyersCustom CabinetsCustom Kitchen CabinetsDeck Designers & BuildersDeck Maintenance & RestorationDecorative & Specialty ConcreteDemolition ResidentialDental ServicesDentistsDermatology Physicians & SurgeonsDesign & Build ContractorsDietitiansDisabled & Elderly Home Health CareDoors & Windows InstallationDraperies & Curtains RetailDriveway Contractors & ConstructionDriving SchoolsDry Cleaning ServicesDrywall ContractorsDrywall RepairEcommerceEducationElectric Contractors ResidentialElectric Equipment & Supplies DealersElectrical ServicesElectriciansEvent PlanningExcavation ContractorsEye Care ServicesEyewearFacialsFertility & Infertility Physicians & SurgeonsFinancial CounselorsFinancial PlanningFinancial ServicesFireplace & Chimney Building & RepairFitness ConsultantsFitness EquipmentFitness ServicesFloor InstallationFloor Installation, Refinishing, & Resurfacing Commercial & IndustrialFloor Installation, Refinishing, & Resurfacing ResidentialFlooring ServicesFood and DiningFoundation ServicesFoundations InspectionFull Service Moving & StorageFuneral ServicesFurnacesFurniture Designers & Custom BuildersFurniture Refinishing, Repair & CleaningFurniture Rental & LeasingFurniture ServicesGarage BuildersGardenersGranite CountertopsGutter & Downspout Cleaning & RepairGynecology & Obstetrics Physicians & SurgeonsHair Care & TreatmentHardwood Floor RefinishingHealth & Wellness ProgramsHealth Care ProfessionalsHealth Care ProvidersHealth Care ServicesHealth InsuranceHearing Aid AudiologistsHearing Aids & Assistive Devices RetailHeating and Air ConditioningHeating and Air Conditioning SuppliesHeating ContractorsHeating RepairHeavy ConstructionHome Alarm SystemsHome and Office Organization ServicesHome DevelopersHome Health CareHome Improvement ServicesHome Inspector ServicesHospital Equipment & SuppliesHotels and B&BsHouse CleaningHVAC Equipment & Supplies DealersHVAC ServicesInformation Technology ServicesInsurance ServicesInterior Cleaning ServicesInterior Decorating ServicesInternet Products & ServicesInvestigation ServicesInvestment ServicesIT ServicesKitchen Cabinet Remodeling & RepairKitchen Planning & Remodeling ServicesLaminate Flooring InstallationLandscape ContractorsLandscape DesignersLandscape EquipmentLandscape LightingLandscape MaintenanceLandscaping ServicesLaundry ServicesLawn & Garden Equipment & Supplies RetailLawn & Garden Sprinklers Installation & ServiceLawn Mowing ServicesLegal Consulting ServicesLegal ServicesLife CoachingLife InsuranceLighting ContractorsLighting Fixtures Repair, Maintenance & InstallationLimousine ServiceLocksmithsMake Up ArtistMarketing ConsultantsMarketingMarketing ServicesMartial Arts SchoolsMedical CentersMental Health ClinicsMetal Roofs & SidingMotorcycle DealersMotorcycle RepairMultimedia ServicesNail CareNursing & Personal Care FacilitiesNutritionOutdoor LightingOtherPainting & DecoratingPavement Repair & MaintenancePaving ContractorsPediatric servicesPersonal ChefsPersonal TrainersPest Control ServicePet BreedersPet CarePet Care ServicesPet CemeteriesPet Food & Supplies RetailPet Grooming & BoardingPet ShopsPet Sitting & Day CarePet TrainingPhotography and Video ServicesPhysical TherapyPhysical Therapy ServicesPhysicianPhysician ServicesPlants & Trees Retail NurseriesPlastic SurgeryPlumbing Equipment, Parts, & SuppliesPlumbing FixturesPlumbing ServicesPool ServicesPressure Cleaning Services ResidentialPrinting ServicesPrivate EducationProperty Management ServicesReal Estate ServicesRehabilitation CentersRental CarsRetirement ServicesReputation MarketingRoof RepairRoofing ContractorsRoofing ServicesRoom AdditionsSalon ServicesSaunasScaffolding & Aerial Lifts, Parts & SuppliesSecurity Equipment DealersSecurity ServicesSenior Care ServicesSewer & Drain Cleaning ContractorsSiding ContractorsSoftware Design & DevelopmentSolar Panel InstallationSolar ServicesSpa ServicesSpiritual CenterSports & Fitness InstructionStaffing AgenciesStorage ContainersStorage ShedsSun Rooms, Greenhouses, Solariums, & Atriums BuildersSurveillance CamerasSwimming Pool ContractorsSwimming Pool Cover & Enclosure DealersSwimming Pool DealersSwimming Pool Equipment & Supplies DealersSwimming Pools InstallersSwimming Pools Remodeling & RenovationTanning SalonsTermite ControlTiles Refinishing, Cleaning, & RepairTranslation ServicesTransportation ServicesTravel Accommodation ServicesTravel AgentsTravel ConsultantsTree RemovalTree Trimming ServicesUsed Auto PartsUsed Car DealersVeterinarian ServicesVideo Production ServicesVinyl Floor InstallationVirtual assistantWater Damage RestorationWater Heater RepairWater HeatersWater SoftenerWebsite Design & DevelopmentWedding FloristWedding PhotographyWedding PlannersWedding Receptions & PartiesWedding ServicesWeight Loss & ControlWindow CleaningWindow ContractorsWindow InstallationWindow TintingWomen’s Health Physicians & SurgeonsYoga Instruction & TherapyBusiness Type*Select Business TypeLocal BusinessOnline BusinessBusiness Address* Street Address Address Line 2 City State / ProvinceAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Business Phone*Website URL* Upload your business logo image(s). Drop files here or What product/service would you like to promote?*What discount or special offer do you want to promote for the above product/service?*For example: 25% off photo shoot for first time customers. A savings of $50. Please be sure to specify the actual % discount and the $ savings.Name at least two Benefits of your product/service? (What problem does it solve for your customer?)*What are your color preferences? Please mention 2 colors of your choice:*Please write your mission statement or company slogan, if you have one:*When people see your video ad, what would you want them to do? Please check all that apply.* Hire you to perform some service Join your company Communicate with you Inform you about something Seek information about your products, services or organization To be entertained Comparison shop or to buy a product Connect with others of similar interests Register for an account, if yes, please describe View brochure View a catalog Order a product or service online Seek some information Upload any image(s) you would like to be used in the Video Ad. Drop files here or PhoneThis field is for validation purposes and should be left unchanged.