On Screen Manitoba Membership Registration

On Screen Manitoba Membership Registration
Thank you for registering for an On Screen Manitoba membership and for supporting a stronger Manitoba media production industry.

This form collects information to create your listing in the Manitoba Media Production Industry Directory on our website. Any information that will appear publicly will be clearly indicated. Other questions are used for demographic and filtering purposes to help us better understand our membership and ensure you receive relevant information and opportunities.

We encourage you to upload a photo to complete your directory profile.

If you have any questions while filling out the form, please contact trix@onscreenmanitoba.com.
Name of the New Member (for companies: Name of the Primary Contact for your Company, to be included in your listing in the Industry Directory)

First NameLast Name
Personal Pronouns
For OSM's internal use only and will not appear publicly.
Your Current Job Title
Company
Email at which you would like to be contacted by OSM
For OSM's internal use only and will not appear publicly.
Email to appear in your (for companies: in your company's) public profile in the Industry Directory
Can On Screen Manitoba add your email address to applicable email lists, including our weekly newsletter 'In Focus', to ensure you receive exclusive member-only information, discounts and deals? — You can unsubscribe at any time.
Phone Number
For OSM's internal use only and will not appear publicly.Format: (000) 000-0000.
Billing Address (For OSM's internal use only and will not appear publicly.)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website
Which membership level are you registering for? If you have any questions, please refer to onscreenmanitoba.com/become-a-member or contact trix@onscreenmanitoba.com
Please identify your affiliated member organization.
A union/guild you belong to (IATSE Local 856, ACTRA Manitoba, or DGC), or a company you work at, that already has an OSM membership.
School
Program/Degree/Diploma
For OSM's internal use only.
Please upload your company logo.

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Company Bio
Year of Company's Incorporation
For OSM's internal use only.
Please upload your reel, to be included in your listing(s) in the Industry Directory.

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Each Production Company membership includes membership benefits for either one or two Affiliated Producers.
Is the Primary Contact for your company also (one of) your company's Affiliated Producer(s)?
Producer #1 Name

First NameLast Name
Producer #1 Personal Pronouns
For OSM's internal use only and will not appear publicly.
Producer #1 Job Title
Producer #1 Email Address
Producer #1 Phone Number
For OSM's internal use only and will not appear publicly.Format: (000) 000-0000.
Bio
Headshot

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Producer #2 Name

First NameLast Name
Producer #2 Personal Pronouns
For OSM's internal use only and will not appear publicly.
Producer #2 Job Title
Producer #2 Email Address
Producer #2 Phone Number
For OSM's internal use only and will not appear publicly.Format: (000) 000-0000.
Producer #2 Bio
Producer #2 Headshot

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Is there a billing contact you'd like us to reach out to for renewals?
Billing Contact Name

First NameLast Name
Billing Contact Email
For OSM's internal use only and will not appear publicly.
What is/are your profession(s)/role(s) in the industry? — To be included in your listing in the Industry Directory, and to determine on which page(s) your listing appears.

Other
What is/are your organization's role(s) in the industry? — To be included in your listing in the Industry Directory, and to determine on which page(s) your listing appears.

Other
In which position(s) or department(s) do you work?
What kind(s) of performer are you?

Other
Do you have membership with any of the following unions?

Other
What type of Service Supplier are you?
What format(s) and/or type(s) or projects do you work on?

Other
Which audience(s) do you create content for?

Other
Which language(s) are you able to work in?

Other
Help us build the Manitoba Film Database on the Get On Set Manitoba website! Please include up to four projects and please include the producer, director and writer in the Project Description.
If you added projects to the previous question, please upload a picture, still or poster for each and label them accordingly. Minimum 360x240px. Please aim for 3:2 ratio. JPG and PNG formats are preferred.

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How can OSM support you in the future?
For OSM's internal use only and will not appear publicly.
Why did you choose to join the On Screen Manitoba Membership? Please select all that apply.

Other
Demographic Information

The following questions will help us collect demographic information. This information will allow OSM to plan programming, develop services and report to funders. This information is confidential and will not appear publicly.
Do you self-identify as any of the following? Please select all that apply.

Other
What is your gender?
What is your age?
What is your highest level of education?
What is your level of experience?

Other
How many years have you worked in the media production industry?
Demographic Information: First Producer
Does your company's first producer self-identify as any of the following? Please select all that apply.

Other
What is the gender of your company's first producer?
What is the age of your company's first producer?
What is the highest level of education of your company's first producer?
What is the level of experience of your company's first producer?

Other
How many years has your company's first producer worked in the media production industry?
Demographic Information: Second Producer
Does your company's second producer self-identify as any of the following? Please select all that apply.

Other
What is the gender of your company's second producer?
What is the age of your company's second producer?
What is the highest level of education of your company's second producer?
What is the level of experience of your company's second producer?

Other
How many years has your company's second producer worked in the media production industry?
Payment Information

Credit cards, cheque, cash and e-transfers are accepted. Please send your E-transfer to payments@onscreenmanitoba.com.
How would you like to pay?
Please send your E-transfer to payments@onscreenmanitoba.com
Please contact our Operations Manager, Dodie McKay at dodie@onscreenmanitoba.com, (204) 927-5898 to receive our bank transfer information.
Please make your cheque payable to "On Screen Manitoba". Please contact our Operations Manager, Dodie McKay at dodie@onscreenmanitoba.com, (204) 927-5898 if you would like to receive an invoice.

Please select your membership level:

Student Membership

$25.00 CAD

Professional (Affiliated) Membership

$50.00 CAD

Professional Membership

$80.00 CAD

Professional + Membership

$200.00 CAD

Non-Profit Organization/Industry Stakeholder Membership

$300.00 CAD

Service Supplier Membership

$500.00 CAD

Production Company (1 Producer) Membership

$500.00 CAD

Production Company (2 Producers) Membership

$1,000.00 CAD

Total

Credit Card

If — when renewing this membership in the future — you would like it to be bundled with other memberships from your company, please indicate which membership(s).
If you would like OSM to follow you on social media, please include your handles below.
Example: Facebook: @onscreenmanitoba ; Instagram: @onscreenmanitoba ; Twitter: @OnScreenMB
Should be Empty:

On Screen Manitoba Membership Registration

Demographic Information

Payment Information

Please send your E-transfer to payments@onscreenmanitoba.com

Please contact our Operations Manager, Dodie McKay at dodie@onscreenmanitoba.com, (204) 927-5898 to receive our bank transfer information.

Please make your cheque payable to "On Screen Manitoba". Please contact our Operations Manager, Dodie McKay at dodie@onscreenmanitoba.com, (204) 927-5898 if you would like to receive an invoice.

Please select your membership level:

Credit Card