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PAYMENT PORTAL
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
 -
Area Code
Phone Number
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
 -
Year
 -
Month
Day
Date
Photo of I.D
*
Browse Files
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Choose a file
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of
Film Department
Please Select
Production Crew
Cast/Talent
Legal
Other
Title/Position
Date of Work
*
 -
Year
 -
Month
Day
Date
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Banking Information 💸
Payments will be made in ACH payments. Please fill out the information below correctly to ensure there is no delays in you receiving your funds.Â
Bank Name
*
Type of Account
*
Please Select
Checkings
Savings
Name on the account
*
First Name
Last Name
Account #
*
Account # Confirmation
*
Routing #
*
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