Please supply the information requested below. Attach additional sheets, if necessary, to provide required information. A nonrefundable processing fee of [insert amount] must accompany this application unless the requested use is an exercise of a First Amendment right. You must allow sufficient time for the park to process your request; check with the park for guidelines. You will be notified of the status of the application and the necessary steps to secure your final permit. Your permit may require the payment of cost recovery charges and proof of liability insurance naming the United States of America an additional insured. * either a social security number OR a tax ID number; we do not require both. Applicant Name Company/Organization Name Social Security Number* Tax Identification Number* Street Address Street Address City Zip City State Zip Country State Country Code Code Telephone Number Contact Name Cell Number Telephone Number Fax Number Fax Number Address Email Address PROJECT INFORMATION Project Name Telephone Number Cell Phone Number Location Manager Email Address Type of Project Video/Motion Picture/Movie Still Photography Detailed Description of Onsite Activities (attach additional pages, if necessary)
Please supply the information requested below. Attach additional sheets, if necessary, to provide required information. A nonrefundable processing fee of [insert amount] must accompany this application unless the requested use is an exercise of a First Amendment right. You must allow sufficient time for the park to process your request; check with the park for guidelines. You will be notified of the status of the application and the necessary steps to secure your final permit. Your permit may require the payment of cost recovery charges and proof of liability insurance naming the United States of America an additional insured. * either a social security number OR a tax ID number; we do not require both. Applicant Name Company/Organization Name Social Security Number* Tax Identification Number* Street Address Street Address City State Zip Code Country City State Zip Code Country Telephone Number Contact Name Cell Number Telephone Number Fax Number Fax Number Address Email Address PROJECT INFORMATION Project Name Telephone Number Cell Phone Number Location Manager Email Address Type of Project Video/Motion Picture/Movie Still Photography Detailed Description of Onsite Activities (attach additional pages, if necessary)
10-931-App-for-SUP-filming-Short-Form-2017.docx