E-mail Address: * Name of Your Production Company Address City State Zip/Postal Code Country Contact Person Ad Agency (if applicable) Client (if applicable) Production Format Still Photo Motion 35mm Motion 16mm HD Beta Other Type of Production Commercial Documentary Feature Still Made for TV Reality Web Total Length of Finish Product Can we get a copy of your finished product for use in promoting other Yes No Whom should we contact and when? Is this your first time shooting in Alaska Yes No How many times have you shot in Alaska before this? Number of shoot days in Alaska Size of shooting crew Number of local hire crew Number of hotel rooms booked in Alaska during production phase Estimate of all local hire labor costs in Alaska Estimate of total Equipment Purchase and Rental costs in Alaska Estimate of transportation costs in Alaska Estimate of total amount spent while filming your production in Alaska Please comment about your filming experience in Alaska. May we quote you? Yes No Will you be back? Yes No Dont Leave Blank Your Name Your Title Your Telephone Number * Required

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