INTERACTIVE FUND / APPLICATION FORM 2016-2017 Application deadline: Application number: ________________________ November 24, 2016 Date received: ___ ___/___ ___ /___ __ APPLICANT INFORMATION CORPORATE ENTITY NON-PROFIT ORGANIZATION INDIVIDUAL ARTIST Co-Applicant (If applicable): Company/Organization/Individual Company/ Individual Contact Name Contact Name Title Title Permanent Address Permanent Address Postal Code Postal Code Telephone Fax Telephone Fax Email Email Website Website Is your company affiliated with any other entities? Yes No Parent Company (If applicable): Are you using a service provider/contractor for any portion of the project? Yes No Service Provider/Contractor (If applicable): Please provide a brief logline for the project no more than 140 characters to be included in the Creative BC database:
INTERACTIVE FUND / APPLICATION FORM 2016-2017 Application deadline: Application number: ________________________ November 24, 2016 Date received: ___ ___/___ ___ /___ __ APPLICANT INFORMATION CORPORATE ENTITY NON-PROFIT ORGANIZATION INDIVIDUAL ARTIST Co-Applicant (If applicable): Company/Organization/Individual Company/ Individual Contact Name Contact Name Title Title Permanent Address Permanent Address Postal Code Postal Code Telephone Fax Telephone Fax Email Email Website Website Is your company affiliated with any other entities? Yes No Parent Company (If applicable): Are you using a service provider/contractor for any portion of the project? Yes No Service Provider/Contractor (If applicable): Please provide a brief logline for the project no more than 140 characters to be included in the Creative BC database:
Interactive_Fund_Application_1617_REVISED(1).docx