Location caméra | Post-production

ACCOUNT OPENING FORM

Client Information

Company Name

Company Registration Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Contact

First Name

Last Name

Email Address

Work Phone Number

Country

(###)

###

####

Mobile Phone Number

Country

(###)

###

####

Person Responsible for Finances

If applicable.

First Name

Last Name

Email Address

Phone Number

Country

(###)

###

####

Insurances

Insurance Company

Policy Number

Coverage Amount

Policy Expiration Date

YYYY

Main Shareholders

First Shareholder

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Telephone

Country

(###)

###

####

Government-Issued ID Number (1)

Government-Issued ID Number (2)

second shareholder

if you wish to identify more shareholders, please use the additional information section below.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Telephone

Country

(###)

###

####

Government-Issued ID Number (1)

Government-Issued ID Number (2)

business references

First Business Reference

Business Name

Primary Contact

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Credit Limit

Date of Last Business Transaction

YYYY

second business reference

Business Name

Primary Contact

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Credit Limit

Date of Last Business Transaction

YYYY

Additional information

Please note that you must send the following documents to complete your account registration.

You must email them to account@cineground.com with "Your Company" and/or "Your Name" as the subject.

Two Pieces of Government-Issued ID per Shareholder

Front and Back Copy of a Valid Credit Card

Void Cheque

A Copy of your Insurance Certificate, with CineGround Media Inc. specified as Loss Payee

Account Opening Form

ACCOUNT OPENING FORM