Film & Media Application - Town of Esopus

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Film & Media - Intent to Film

Primary Contact *

Production Company *

Title of Production *

Contact Title *

Production Coordinator

Line Producer

Unit Production Manager

Location Manager

Producer

Finance Manager

Email *

Address *

City *

State *

ZIP *

Additional Contacts (name and contact info, one per line) *

Planned shooting days *

Planned start date *

Planned start time *

Planned end date *

Planned end time *

Insurance Carrier *

Policy Number *

Attach Insurance Certificate *

Agent Name *

Agent Phone *

Expiration Date *

Local Production Office Contact (if any)

Name

Phone

Email

Full Address

Type of Production *

Still Photography

Music Video

TV Series

Documentary

Feature Film

Commercial

Industrial

TV Movie

How many locations to be used? *

Using public properties? *

No

Yes

If YES, provide a short description of properties requested: *

Overnight shoots planned? *

No

Yes

If YES, provide list of dates: *

Public assistance required: *

Police

Fire

Traffic/Parking

EMS

None

Other services:

Number of crew *

Number of cast *

Number of cars *

Number of trucks *

Other vehicles *

Sets and structures to be erected: *

Overview of equipment: *

Overview of props: *

List any special effects: (chases, pyrotechnics, shootings, etc.) *

Describe security measures: *

Local resources being used: (crew, cast, vendors, etc.) *

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HOME
ABOUT
GOVERNMENT
BUSINESS
VISIT
CALENDAR
- MEETINGS CALENDAR
- EVENTS CALENDAR
GALLERY