7755 Sunset Blvd. Los Angeles CA 90046 Tel: (323) 876-0160 Fax:
(323) 878-1180
I C G
FILM AND VIDEO TECHNIQUES MAGAZINE
(Please Print) *Deadline date: due by the 10th day of the month
Your Name: _______________________________________ Date: ___________________
*PLEASE CIRCLE ALL THAT APPLY.
Feature Pilot MOW Series Commercial Documentary Music Video Insert
Production Phone #:_____________________ Location City:______________________________
Start Date:_________________________ Completion Date:_______________________________
Parent Co:_______________________________________________________________________
Production Co./Payroll Co: _________________________________________________________
Show Title:_______________________________________________________________________
FIRST UNIT _____ SECOND UNIT _____
DP:_____________________________________________________________________________
OPERATOR(S): __________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
ASSISTANT(S):___________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
________________________________________________________________________________
STEADICAM OPERATOR:__________________________________________________________
STEADICAM AC:__________________________________________________________________
VIDEO ELECTRONIC: _____________________________________________________________
VIDEO CONTROLLER
(TELEVISION):____________________________________________________________________
VIDEO ASSIST
(FEATURES):_____________________________________________________________________
FILM LOADER:___________________________________________________________________
STILL PHOTOGRAPHER:___________________________________________________________
OTHER:__________________________________________________________________________