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SCREENWEST (SW) PROJECT ENQUIRY FORM
Date:
Project Title:
Production Company:
Category (e.g. Feature/Doco)
& Length:
Shooting Format:
Est Prod Budget:
Est % of budget to be spent
in WA:
Is there a WA resident
Producer attached to this
project. If yes please name:
SW Fund most likely to apply
under:
Likely SW investment
request:
Contact Name 1:
Role:
Address:
Phone Number/s:
W:
M:
W:
M:
Email:
Skype Contact:
Contact Name 2:
Role:
Address:
Phone Number/s:
Email:
Skype Contact:
PROJECT STATUS with SCREEN AUSTRALIA
Is Screen Australia funding part of the financing plan (please
check box)
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If Yes:
What date was the preliminary submission made to Screen
Australia.
Which Screen Australia funding round will this project be
considered?
Name of Screen Australia Project Manager:
Version Dec 2011
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PROJECT DETAILS
State/Country
of Residence
Name
Producers:
Executive Producers:
Co-Producer/s:
Writer/s:
Director:
Writer/s:
Post Production House:
Completion Guarantor:
Do you have distributor on
board? If yes who?
ANZ/ROW
N/A
Line Producer
Production Manager:
Cinematographer:
1st AD
Production Designer:
Continuity:
Grip:
Gaffer:
Editor:
Sound Designer:
Sound Editor/Mixer:
Sound Recordist:
SHORT SYNOPSIS / LOGLINE (150 words max)
(When submitting this form, please include the SCRIPT; TREATMENT or a ONE PAGE SYNOPSIS)
LOCATION INFORMATION
Have you appointed a
Location Manager? If so
who?
What kind of locations are
you seeking?
What interests you about
shooting in WA?
How long do you expect the
shoot to be:
Total weeks shot in WA:
Will you require production
office space:
Breakdown of locations
required: (or attach)
EST IMATED SCHEDULE
Pre Production:
Principal Photography:
Post Production:
Delivery Date:
To
To
To
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PROPOSED FINANCE PLAN
Finance Source
ScreenWest
ScreenAustralia
Other State Agency
Producers Offset
ANZ Distribution
Sales Agency
Confirmed
Y/N
Amount $AUD
%
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PRINCIPAL CAST
Actor
Confirmed
Attached
Y/N
Character
...
...
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DEVELOPMENT FUNDING
Source
Stage of Funding
Amount $
Please include any additional information that you think may be relevant to this
project when returning this form.
SCRIPT / TREATMENT / ONE PAGE SYNOPSIS ATTACHED
4
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