Company Information:

Company Name: *

Contact Name *

Phone: *

Email: *

Address: *

General Information/Purpose of Project:

Type of Shoot:

Photo ShootTV ShootCommercial VideoMotion PictureOther

Location:

Desired location for project:

If none is identified, please describe location needs:

Notes/Requirements on Location:

Date(s):

Time(s):

Equipment:

Vehciles (type and amount):

Additional Services:

HotelCateringSecurityTraffic ControlWeekend FilmingSpecial

Accommodations:

If Student or Non-Profit project, please provide proof to affirm status

NOTE: Insurance: Minimum requirement of $1 million holding as additional insured and Worker’s Compensation (NYS statutory rates apply)