SHOOTS.com

Production Crew Diary Booking Service Listing Form

If you are not signing up for the crew booking/diary service, click here

Full Name

Company Name

Address Suite #

City State/Prov Zip

Country

Telephone Cellular

Pager Fax

Email

Home Page http://

Job Description

I am interested in using the SHOOTS.com crew booking/diary service as my primary booking and diary service. I understand that I will be billed $75.00 per month in advance for this service. I also understand that any bookings taken for me by SHOOTS.com will take priority over bookings made directly to me. It will also be my responsibility to inform SHOOTS.com when I do take a direct booking.

I have read the above statement and agree to the terms as stated. Check here

I would like to be billed quarterly at $210.00 (a savings of $15.00). Check here

Please bill my credit card (Amex/Diners/Mastercard/VISA) at the rate.

Card type:American Express Diners Club Mastercard VISA Card number Expiry date (MM/YY)

Name on card Billing Address

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© 1997 Euro-Pacific Film & Video Productions, Inc.

10/29/97