Producer Information

Once you have completed the items on the checklist, provide your information to the TiP Coordinator electronically by completing this form.

By completing and submitting this form the Producer acknowledges and warrants:

the truth and accuracy of information and documents submitted in and with this application;

that ACTRA Toronto and the CMPA have full discretion with no administrative duty of fairness;

that no agreement has been entered into or will be entered into with a performer unless and until this TiP application is approved at ACTRA Toronto’s and CMPA's discretion;

that ACTRA Toronto and CMPA reserve the right to consult all other parties involved with the submitting project;

that there is no guarantee of acceptance and approval by ACTRA Toronto and CMPA regardless of representations that may have been made by the TiP Coordinator;

that the Producer agrees to abide by the terms and conditions of the TiP Guidelines.

Project Title

Project Synopsis*

Primary Producer Name

The Primary Producer is the person whose signature is on the Voluntary Recognition Agreement (VRA).

First Last

Primary Producer Address

Street Address Address Line 2 City Province Postal Code

Primary Producer Phone Number

Primary Producer Email Address

Co-Producer's Name

Co-Producer Address

Street Address Address Line 2 City Province Postal Code

Co-Producer Phone Number

Co-Producer Email Address

Other Producer(s)

List each producer on their own line. (Name, Phone, Email address)

Production Company Name

The name of the production company.

Production Company Address

The address information of the production company.

Street Address Address Line 2 City Postal Code

Production Company Phone (Primary)

The primary phone number for the production company.

Production Company Phone (Alternate)

The alternate phone number for the production company.

Production Company Email Address

Production Company Website

Short or Feature? (Enter anticipated runtime in minutes)

Enter a number (not text). Minimum value is 1.

Anticipated shoot start date

Number of shooting days

Enter a number (not text). Minimum value is 1.

Canadian Media Producers Association (CMPA)

CMPA Membership Number

Mentor Name

Name of any Mentor working on this production.

First Last

Mentor Address

Street Address Address Line 2 City Province Postal Code

Mentor Phone Number

Mentor Email Address

Executive Producer

Name of Executive Producer working on this production.

First Last

Executive Producer Address

Street Address Address Line 2 City Province Postal Code

Executive Producer Email Address

Executive Producer Phone Number

Director Name

Name of Director working on this production.

First Last

Director Address

Street Address Address Line 2 City Province Postal Code

Director Email Address

Director Phone Number

Writer Name

Name of Writer working on this production.

First Last

Writer Address

Street Address Address Line 2 City Province Postal Code

Writer Email Address

Proposed and confirmed financing sources:

One per line, please. (Name, Phone, Email Address)

Shooting format (digital/film/video)

Total production budget

Total cast budget

Total cash budget

Non-cash portion of budget

Valuation of volunteer, deferred and in-kind services.

Approximate date producer will submit hard copy of this application

Intended market and festival use:

Questions or Comments

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Producer Information