Form Center

2. Name of Project*
4. Name of Company*
6. Name of Contact*
7. Contact E-Mail*
8. Contact Phone Number*
10. Project Synopsis
12. Project Type*
    -- Select One --Narrative Feature/SeriesDocumentary Feature/SeriesCommercial
14. Have you established contact with the Virginia Film Office?*

    1. Yes
15. Who did you establish contact with at the VFO?
17. Production Dates*
    Production Dates Start Date

    Production Dates Start Time

    —

    Production Dates End Date

    Production Dates End Time
19. Anticipated spend in Fredericksburg*
20. Attach Production Budget*

    Proof is required of allocated budget.

22. Insurance Provider*

    Attach confirmation that insurance has been provided.

24. Director's Previous Work

    Paste URL of director's previous work (Demo Reel, Film, Website, etc.)

26. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
28. Electronic Signature
29. Date & Time*
    Date & Time

    Date & Time
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit Submit and Print

* indicates a required field