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2. 1 - Applicants Information
4. Company
6. Address
7. Address 2
9. City
10. State
11. Zip
12. Country
14. Phone Number
15. Extension
17. Fax Number
19. Contact Name
21. Email
23. Date of Application
    Date of Application
27. 2 - Request for City Services

    1. Police/Traffic
    2. Fire Department
    3. Parking
    4. Other
29. Description:
33. 3 - Please answer the following, checking Box means YES

    1. Use of Firearms, dangerous materials or special effects
    2. Will You be using a truck for catering?
    3. Will you be using a tent?
    4. Will you be using external propane tanks?
37. 4 - Technical Information
39. Location
41. Dates of Filming
43. Approximate Times
45. Number of Cast and Crew
47. Basic Equipment List
49. Describe Scene to be filmed
53. 5 - Vehicle Information
55. Number of Trucks and their Plate Numbers
57. Number of Autos and their Plate Numbers
59. Other Vehicles and their Plate Numbers
63. 6 - Film Information
65. Type of Film/Celebrities
67. If Commercial, Name of Product adn Any Celebrities involved
69. Producer, Director
73. 7 - Insurance Information
75. Company, Agency or Policy Number
77. Amount
79. Expiration Date
    Expiration Date
83. 8 - First Additional Filming Locations
85. Additional Locations
87. Dates
89. Approximate Times
91. Describe Scene in Detail
95. 9 - Second Additional Filming Locations
97. Additional Location
99. Dates
101. Approximate Times
103. Describe Scene in Detail
107. 10 - Third Additional Filming Location
109. Additional Location
111. Dates
113. Approximate Times
115. Describe Scene in Detail
119. 11 - Fourth Additional Filming Location
121. Additional Location
123. Dates
125. Approximate Times
127. Describe Scene in Detail
131. 12 - Fifth Additional Filming Location
133. Additional Location
135. Dates
137. Approximate Times
139. Describe Scene in Detail
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143. 1. Receive an email copy of this form.
144. Email address

     This field is not part of the form submission.

145. Submit Submit and Print

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