Support Services Form

*Note: All submissions are reviewed by the film staff before being posted to the index. If you have a head shot or youtube video resume link, please send it to mhartman@visitlakecharles.org.

General Information

Company Name

First Name

Last Name

Physical Address 1

Physical Address 2

Physical City

Physical State --None-- ** - ** AB - Alberta AK - Alaska AL - Alabama AR - Arkansas AZ - Arizona BC - British Columbia CA - California CO - Colorado CT - Connecticut DC - District of Columbia DE - Delaware FL - Florida GA - Georgia HI - Hawaii IA - Iowa ID - Idaho IL - Illinois IN - Indiana KS - Kansas KY - Kentucky LA - Louisiana MA - Massachusetts MB - Manitoba MD - Maryland ME - Maine MH - Marshall Islands MI - Michigan MN - Minnesota MO - Missouri MS - Mississippi MT - Montana NB - New Brunswick NC - North Carolina ND - North Dakota NE - Nebraska NF - Newfoundland NH - New Hampshire NJ - New Jersey NM - New Mexico NS - Nova Scotia NT - Northwest Territory NV - Nevada NY - New York OH - Ohio OK - Oklahoma ON - Ontario OR - Oregon PA - Pennsylvania PE - Prince Edward Island QC - Quebec RI - Rhode Island SC - South Carolina SD - South Dakota SK - Saskatchewan TN - Tennessee TX - Texas UT - Utah VA - Virginia VT - Vermont WA - Washington WI - Wisconsin WV - West Virginia WY - Wyoming YT - Yukon

Physical Zip

Primary Phone

Primary Phone Extension

Fax

Email

Web Site

Film Credits

Industry Affiliations/Membership

Crew Base Service Categories

(Please select all that apply)

Actor

Character (Female) Character (Male) Child (Female) Child (Male) Lead (Female) Lead (Male)

Crew

Aerial & Underwater Photography Ambulance/Medical Standby Animal Wrangler/Trainer Art Director Artist Assistant Camera Assistant Director Associate Producer Audio/Video Production Body Guard Boom Operator Constumer Construction Contractor Constume Design Composer Casting Carpenter Camera Operator Camera Cranes Diver Directors Assistant Director Dialect Coach Editor Electrician/Electrical Equipment Film Production Company Florist Food Stylist Gaffer Graphic Design Greensman Grip Hair Stylist Historical re-Creation Director Interior Designer Internet Service Janitorial Service Landscaping Legal Consultant/Coach Lighting Director Makeup Artist Message Therapist Medic/First Aid Medical Technical Advisor Misc. Crew Moving Company/Specialty Handlers Music & Musicians Painter Payroll Services Personal Assistant Photography Post Production Company Printers Producers Production Assistant Production Company Prop Master Prop Rental Public Relations Record Labels Recording Studio Script Supervisor Seamstress/Tailor Security Set Decorator Set Designer Set Teacher/Tutor Shipping Signs Sound Equipment Sound Mixer Spa Special F/X Coordinator Staffing Service Steadicam Operator Storyboard Artist Stunt Talent Agency Tattoos/Specialty Makeup Tent Rentals Tire Service & Repair Towing & Recovery Trailer Rental Video Camera Operator Video Editing Video Production Company Videographer Wardrobe Wardrobe Sale & Rental Web Design Wi-Fi Wireless Networks Writer/Script Screenwriter

Location & Support Service

Accountants & Auditors Acting Coach/Classes Animation Antiques & Antique Automobiles art Galleries Art Supplies Attorney Automobile Rental Carriage Service Catering Computer Services Equipment Rental Event Planning & Rental Facilities - Sports/Concert Venue Firearms Rental/Transfers Furniture Rental Hardware/Construction Supplies Heavy Equipment Rental Ice Service Interior Designer Lighting Equipment Limousine Service Location Manager Location Scout Marine Equipment Massage Therapist Motor Home/RV Rentals Notary Public Personal Chef Personal Trainer Real Estate Recreational Vehicle Repair Satellite Service & Repair Special Events Coordinator Storage & Warehousing Telephone Systems Vintage Automobiles Vintage Clothing

Services

Accommodations Attractions Chiropractor Dentist Film Related Organizations Golf Courses Guilds/Unions Insurance/Risk Management Private Locations Restaurants Transportation Service & Rental Travel Agency

Red fields are required.

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