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	TV Commercial		TV Series

	Movie of the Week		Feature Film

	Documentary		Student Film

	Other

Local Company
B.C. Inc. #
Phone #	Fax #
Address	City
Postal Code	Province
Parent Company
Phone #	Fax #
Address	City
Postal/Zip Code	Province/State

Production Manager	Cell #
Production Manager has Signing Authority
Location Manager	Cell #
Email
Location Manager has Signing Authority
Assistant Location Manager	Cell #
Email
Contact On-Set	Cell #

Location 1	Number of Days
Location 2	Number of Days
Location 3	Number of Days

	FX Gunfire		Firearms Visible on Set

	FX Rain or Snow		FX Fire

	FX Explosions		Helicopters or Planes

	Car Stunts		Watercraft

Filming Application

Production Information

Production Company Information

Contact Information

Filming Dates in New Westminster

Desired Location Services

Proposed Locations for Filming (provide specific street address)

Proposed FX Activities

Translation Disclaimer