The Greater Cleveland Media Development Corp.

Ivan Schwarz
President

Bob Aber
Vice President of Finance & Operations

Jason Drake
Production Coordinator

Gwen Mikolajczak
Assistant Production Coordinator

MacKenzie Rodgers
Office Manager / Executive Assistant

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Permits

This form is used to determine how we can most help you with your production. Please fill out all fields as accurately as possible.

Project Title
Contact Name
Company

Primary Phone Number
Secondary Phone Number
Fax Number

Email Address

Street Address
City
State
Zip Code

Project Type
If you Chose "Other" Please Describe Here
Please Send Me The Following: (check all that apply)	Production Manual Location Files - Is Email Okay? Yes No General Information About The Greater Cleveland Film Commission Permit Information - Municipality: Other (please specify) - *If you need this information immediately, please enter your FedEx account number here:

Can You Send a Script?	Yes No

Starting Date
Ending Date

Please Give a Brief Synopsis of Your Project:

How are You Involved in this Project?

What Production Company/Companies are involved?

Please Briefly Describe Locations Needed:

Have you ever shot in Ohio before? If yes - please list productions
Would you like to received future film commission mailings and updates:	Yes No

Please List and Additional Comments or Suggestions: