HomeMy WebLinkAboutFilming Wrap Form.pdf�
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CITY OF MAPLE RIDGE
FILM WRAP FORM
FILM APPLICATION #
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PRODUCTION COMPANY
Company Name
Production Title
PRODUCTION INFORMATION
Total Prep & Wrap Days Total Shoot Days
Director 1st Assistant Director Special Effects Coordinator
Locations Manager Assistant Locations Manager
Estimated Total ProduCtion Budget (select range that is most suitable)
❑ Under $100,000
❑ Between $100,000 - $250,000
❑ Between $250,000 - $1,000,000
❑ Between $1,000,000 - $5,000,000
❑ Over $5,000,000
Estimated Number of Local Talent Hired/Jobs Created (seiecr range tnat is mosr suitabie�
❑ Under 10
❑ Between 10 - 25
❑ Between 25 - 100
❑ Over 100
Were any of these jobs permanentjobs? If yes, how many?
Estimated Total Location Fees & Expenses Estimated Total Non-Location Fees & Expenses
(select range that is most applicable) (select range that is most applicable)
(including location/property rentals, parking use, loss of use (including set decorations, equipment & vehicle rentals,
compensation & remuneration, etc) catering, etc)
❑ Under $5,000 ❑ Under $5,000
❑ Between $5,000 - $10,000 ❑ Between $5,000 - $10,000
❑ Between $10,000 - $25,000 ❑ Between $10,000 - $25,000
❑ Between $25,000 - $100,000 ❑ Between $25,000 - $100,000
❑ Over $100,000 ❑ Over $100,000
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CITY OF MAPLE RIDGE CITY HALL HOURS FILM PRODUCTION LIAISON
� �� �� 11995 Haney Place Monday- Friday MargJohnson
Maple Ridge, BC Canada 8am - 4pm T: 604-467-7488
V2X 6A9 E: mjohnson@mapleridge.ca
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CITY OF MAPLE RIDGE
FILM WRAP FORM
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Estimated Total Donations to Local Community Organizations
(select range that is most applicable)
❑ None
❑ Between $100 - $500
❑ Between $500 - $1,000
❑ Between $1,000 - $5,000
❑ Over $5,000
Types of Community Not-for-Profit Organizations Supported by Production Donations
(select all the apply)
❑ Local Food Banks � Local Youth Organizations
❑ Local Heritage Organizations ❑ Local Animal Protection Organizations
❑ Local Homeless / Abuse Prevention Shelters ❑ Local Wildlife and/or Environmental
❑ Local Seniors Organizations Protection Organizations
❑ Oth2Y: (please specify)
Local Businesses or Services Procured by Production �piease iist�
FEEDBACK
Municipal Permitting Process
❑ Very Satisfied ❑ Somewhat Satisfied ❑ Not Very Satisfied ❑ Not At All Satisfied
Comments
Working with Neighbourhood & Community
0 Very Satisfied ❑ Somewhat Satisfied ❑ Not Very Satisfied ❑ Not At All Satisfied
Comments
Suggested Improvements
Completed By (please print) Date
Signature Date
Any personal information collected on this form will be managed in accordance with the Freedom of Information and Protection of PrivacyAct.
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CITY OF MAPLE RIDGE CITY HALL HOURS FILM PRODUCTION LIAISON
� � • • � 11995HaneyPlace Monday-Friday MargJohnson
Maple Ridge, BC Canada 8am - 4pm T: 604-467-7488
v2x 6a9 E: mjohnson@mapleridge.ca