PASSPORT TO MARKETS /APPLICATION FORM 2017-18

Application Number: ______Date Received: ______/______/______

Year Month Date

APPLICANT INFORMATION

Company
Delegate Name
Address
City / Province Postal Code
Telephone / Fax
Email / Website

MARKET EVENT

Market: / Location:
Dates: / Event Website:

DOCUMENTATION REQUIRED(please attach the following):

  1. Corporate Profile
  2. Delegate Resume (including production credits)
  3. If applicable, evidence of selection to attend (from the market/conference organizing committee)

Have you or your company received funding from Passports to Markets at least four times in the past two years?

YesNo

If yes, please attach the following:

  • A list of financing confirmed from third parties over the past two years including financier, amount, type and date of executed contract; and
  • A list of productions completed or commenced principal photography over the past two years by the applicant or its company, including title, genre, length, date of principal photography, date of delivery and overall production budget.

GENERAL OBJECTIVES AND BUSINESS PLAN

PROJECTS

PROJECT TO BE PITCHED#1 (USE ADDITIONAL PAGES AS NEEDED)

Name of Project: ______

Producer(s):______

Production format: ______Genre: ______

Target Audience(s):______

Budget: ______

Production status:Development Post-ProductionProduction 

Post-Production Completed 

Confirmed Third Party Financing:Yes  No 

Name of financial source: ______

Type of Financing (Equity, Advance, Grant, License): ______

Amount: ______

Date of Executed Contract: ______

Specific goals while attending this market: ______
______

Proposed Meetings: ______

______

PROJECT TO BE PITCHED#2(USE ADDITIONAL PAGES AS NEEDED)

Name of Project: ______

Producer(s):______

Production format:______Genre:______

Target Audience(s):______

Budget:______

Production status:Development Post-ProductionProduction 

Post-Production Completed 

Confirmed Third Party Financing:Yes  No 

Name of financial source:______

Type of Financing (Equity, Advance, Grant, License): ______

Amount: ______

Date of Executed Contract:______

Specific goals while attending this market: ______
______

Proposed Meetings: ______

______

PROJECTTO BE PITCHED #3 (USE ADDITIONAL PAGES AS NEEDED)

Name of Project:______

Producer(s):______

Production format:______Genre:______

Target Audience(s):______

Budget:______

Production status:Development: Post-ProductionProduction 

Post-Production Completed 

Confirmed Third Party Financing:Yes  No 

Name of financial source:______

Type of Financing (Equity, Advance, Grant, License): ______

Amount: ______

Date of Executed Contract:______

Specific goals while attending this market: ______
______

Proposed Meetings: ______

______

BUDGET BREAKDOWN

Item / Budgeted
Conference Registration
Airfare
Accommodation _____ days x $______*
Per Diem ______days x $______**
Ground Transportation (taxis, shuttles, rental cars)
Vehicle Fuel Costs (if applicable)
Other (Please Specify):
Sub-total (Base Budget):
Preparation of Marketing Materials (e.g. brochures, CD-ROMs)***
Overhead Allowance****
Total Budget:

FINANCING PLAN

Source / Amount
Creative BC
Individual
Funding from other public agencies (please specify)
Funding from other private sources (please specify)
Total Financing:

LEGEND

*Accommodationcosts: up $175 pernightinsideCanadaorupto$250 pernightoutsideCanada.

**PerDiem: $60 perdayinsideCanadaor$80 per dayoutsideCanada.Mealcostsdonothavetobe
broken- downwithinthis.

***Marketingmaterials: no more than 20%oftheBaseBudgetandmustbepayabletothirdparties.

****Overheadallowance: cappedat10%oftheBaseBudget. (budget can be used to cover items such as related long distance, cell phone usage, in-house photocopying, courier costs and general administrative expenses). Costs do not have to be broken down within this budget.

NOTES:

With the exception of vehicle fuel costs, per diem, and overhead allowance, all amounts listed above must be ultimately paid to third parties. Photocopies of supporting invoices and receipts must be submitted for conference registration, airfare and accommodation.

A maximum participation of between $1,000 and $2,500 is set by Creative BC for each market depending on the location and costs of the event (see Passport to Markets Site List). Creative BC’s contribution must not exceed final approved eligible costs. Creative BC reserves the right to reduce the award following review of the final costs.

I acknowledge that Creative BC may request additional application materials in order to complete the analysis of my application and I agree to provide any additional requested documentation in a timely manner.

I hereby declare and warrant that to the best of my knowledge, the information contained herein is true and complete and I authorize Creative BC to contact sources necessary to verify the contents of this application and supporting documents.

Signature of Applicant:

Title:

Company:

Print Name:

Date:

2225 WESTBROADWAY TEL: + 1 604 736 7997PASSPORT TO MARKETS APPLICATION 2017-18VANCOUVER, BC V6K 2E4 UPDATED: APRIL27, 2017

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