Please print and fill out the form below or download it and fill it out and email back to the Charlotte Regional Film Commision. Download - Charlotte Regional Film Commission Registration App.doc
Charlotte Regional Film Commission Registration Application
(REQUIRED for filming in the Charlotte Region)
Date: ______________
Company Information
Company Name: ___________________________________________________
Company Contact: _________________________ Title: ____________________
Address: _________________________________ City: ___________________
State/Province: _______________ Postal Code: ___________ Country: ________
Phone: ________________ Fax: ________________ Cell: __________________
Email: ___________________
Primary Contact
Production Contact: ________________________ Title: _____________________
Address: _________________________________ City: _____________________
State/Province: _______________ County: ___________ Postal Code: __________
Phone: ________________ Fax: ________________ Cell: ___________________
Email: ___________________
Production Information
Title: ______________________________________________________________
Type:[ ] Feature [ ] Commercial Budget: [ ] $0 - $50K [ ] $5M - $10M
[ ] TV [ ] Music Video [ ] $50K - $100K [ ] $10M - $30M
[ ] MOW [ ] Documentary [ ] $100K - $500K [ ] $30M - $50M
[ ] Still [ ] Reality [ ] $500K - $5M [ ] over $50M
[ ] Student [ ] Other
# Employed from the Charlotte Region: Cast ______ Crew ________ Extras ________
Production Days in the Charlotte Region: ____________________________________
Projected Shoot Dates in the Charlotte Region: ________________________________
Total Projected $'s Spent in the Charlotte Region: ______________________________
# Room Nights in the Charlotte Region: ______________________________________
Location Information
Locations needed for filming: ______________________________________________
____________________________________________________________________
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Will you need assistance with:
[ ] Department of Transportation [ ] Police Department
[ ] Fire Department [ ] Parks & Recreation
[ ] Charlotte Douglas International Airport
Will you be applying for film incentives in: __________NC ________SC
How many copies of our Regional Film & Video Guide do you need? _____________
Additional Information (Please let us know if there is anything else we can help you with in the section below)
______________________________________________________________________
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Information on Person submitting this form:
Name: _________________________________________________________________
Job Title:_______________________________________________________________
Contact #: ____________________________ Email: ___________________________
Signature:______________________________________________________________
(Once you have submitted online, please fax, mail, or email a signed copy)
This is not a film permit.
Please submit completed form to: Charlotte Regional Film Commission
1001 Morehead Square Drive Suite 200
Charlotte, NC 28203
Phone: 800-554-4373
Fax: 704-347-8981
Email: bpetty@charlotteusa.com
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