Letter of Intent

Letter of Intent

For Photography, Film, Videotape, and Other Electronic Media
Company Name*
Contact Name*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Project Information
General Information/Purpose of Project*
Type of Shoot*

Photo ShootTV ShootOtherCommercial VideoMotion Picture
Please provide a brief description*
Location
Desired location for project*
Enter N/A for none
If none is identified, please describe location needs*
Enter N/A for none
Notes/Requirements on Location*
Enter N/A for None
Begin Date / Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
End Date / Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
Equipment*
Enter N/A for none
Vehicles (Type and amount)*
Enter N/A for none
Additional Services*

HotelCateringSecurityTraffic ControlWeekend FilmingSpecial
Please describe the special services needs*
Accommodations*
Enter N/A for none
If Student or Non-Profit project, please provide proof to affirm status

pdf, doc, docx, xls, xlsx, txt, jpg, jpeg, png
Cancelof
NOTE: Proof of insurance coverage is required. A Certificate of Liability Insurance listing Rockland County as additional insured in the amount of $1 million per occurrence for general liability and automobile liability, and umbrella policy, for a total combined limit of $11,000,000 for both coverages. Worker’s Compensation and Disability Insurance as required by the State of New York. Worker’s Comp & Employer’s Liability insurance must have been issued within the last six months.
Should be Empty:

Letter of Intent

Project Information

Location