VIDEO PRODUCTION REQUEST FORM

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Production Company*

Individual submitting request*

Affiliation with production company*

Address*

Phone Number*

Email address*

Requested date(s)*

Request hours*

Requested locations*

Title of project*

Project type*

Please selectTV CommercialTV Episode/specialMusic VideoFeature FilmDocumentary/NewsStudent Still/Film/VideoPrint Ad/Calendar/MagazineOther

Please specify*

Detail description of project*

Type of equipment that will be used and number of pieces (still cameras, video or film cameras, lighting, generators, vehicles, etc.)*

Drone being used?*

Please selectNoYes

FAA Permit Information*

Total number of people involved in the shoot*

Number of crew members*

City services requested (electrical, emergency medical, fire, parks & recreation, police, public beach maintenance, traffic & highways or transportation)*

City equipment requested*

City facilities requested*

Signature (Print full name as signature)*

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