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.*

YesNo
Phone Number*
For OSM's internal use only and will not appear publicly.
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

Student ($25)Professional (Affiliated — $50)Professional ($80)Professional Plus ($200)Non-profit Organization/Industry Stakeholder ($300)Service Supplier ($500)Production Company (1 producer — $500)Production Company (2 producers — $1,000)
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)?*

Yes, the Primary Contact is an affiliated producer.No, the Primary Contact is someone else.
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.
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.
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?*

YesNo
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.*

BroadcasterCastingComposerCrew/TechnicianDirectorDistributionFilmmakerPerformerProducerService SupplierStory EditorTrainingWriterOther
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.*

AssociationBroadcasterDistributionExhibition VenueFilm CommissionFilm FestivalFilm OfficeFilm SummitService SupplierTrainingUnion/GuildOther
In which position(s) or department(s) do you work?*

AccountingAnimal WranglerAnimationArt DepartmentAssistant CameraAssistant DirectorAudio EngineerBusiness AffairsCamera OperatorCateringCinematographerConstructionContinuity/Script SupervisorCostumeDirector of PhotographyFirst Aid/Craft ServiceGreensGripHairIntimacy CoordinatorLighting/ElectricLine ProducerLocationsMakeupMusic SupervisorPaintPicture EditorProduction AssistantProduction CoordinatorProduction DesignerProduction ManagerPropsSafetySet DecorationSoundSound EditorSpecial EffectsStill PhotographerStunt CoordinatorTranscriptionistTransportationVideographer
What kind(s) of performer are you?*

ActorMusicianStunt PerformerOther
Do you have membership with any of the following unions?*

ACTRA ManitobaDirectors Guild of Canada - Manitoba District Council(IATSE) ICG 669IATSE Local 856Location Managers Guild InternationalSARTECScreen Composers Guild of CanadaWriters Guild of CanadaNon-UnionPermittee — please specify with which union(s) under "Other"Other
What type of Service Supplier are you?*

Accommodation ServicesAnimationAudio ProductionBusiness AffairsCateringComputer/Data ManagementDigital MediaEntertainment LawEquipment RentalsFilm Studio/Sound StageFinancial ServicesGraphicsInstallationInsuranceLegal ServicesMovingPost-ProductionProduction ServicesPublicity/MarketingSanitary SuppliesSigns and Printing ServicesStill PhotographerStorageTransportationVehicle RentalsVisual Effects
What format(s) and/or type(s) or projects do you work on?*

Short FilmFeature FilmFeature DocumentaryMovie of the WeekFactual SeriesFiction SeriesAnimated FeatureAnimated SeriesWeb SeriesCommercialCorporateClient-focusedInteractive Digital MediaOther
Which audience(s) do you create content for?*

ChildrenYouthFamilyAdults — GeneralFrancophoneIndigenous PeoplesOther
Which language(s) are you able to work in?*

EnglishFrenchAn Indigenous LanguageOther
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.

To access membership benefits.To support On Screen Manitoba.To support the development of the media production industry in Manitoba.For a partnership opportunity.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.

IndigenousBlackPerson of Colour2SLGBTQ+Deaf or Hard of HearingBlindLiving with a DisabilityFrancophoneOther
What is your gender?
What is your age?

Under 18Between 18 and 24Between 25 and 34Between 35 and 44Between 45 and 54Between 55 and 64Over 65
What is your highest level of education?

High SchoolCollege DiplomaBachelor's DegreeGraduate Degree
What is your level of experience?

EmergingExperiencedEstablishedOther
How many years have you worked in the media production industry?

Under 2 yearsBetween 2 and 4 yearsBetween 5 and 8 yearsMore than 8 years
Demographic Information: First Producer
Does your company's first producer self-identify as any of the following? Please select all that apply.

IndigenousBlackPerson of ColourLGBTQ2SIA+Deaf or Hard of HearingBlindLiving with a DisabilityFrancophoneOther
What is the gender of your company's first producer?
What is the age of your company's first producer?

Under 18Between 18 and 24Between 25 and 34Between 35 and 44Between 45 and 54Between 55 and 64Over 65
What is the highest level of education of your company's first producer?

High SchoolCollege DiplomaBachelor's DegreeGraduate Degree
What is the level of experience of your company's first producer?

EmergingExperiencedEstablishedOther
How many years has your company's first producer worked in the media production industry?

Under 2 yearsBetween 2 and 4 yearsBetween 5 and 8 yearsMore than 8 years
Demographic Information: Second Producer
Does your company's second producer self-identify as any of the following? Please select all that apply.

IndigenousBlackPerson of ColourLGBTQ2SIA+Deaf or Hard of HearingBlindLiving with a DisabilityFrancophoneOther
What is the gender of your company's second producer?
What is the age of your company's second producer?

Under 18Between 18 and 24Between 25 and 34Between 35 and 44Between 45 and 54Between 55 and 64Over 65
What is the highest level of education of your company's second producer?

High SchoolCollege DiplomaBachelor's DegreeGraduate Degree
What is the level of experience of your company's second producer?

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

Under 2 yearsBetween 2 and 4 yearsBetween 5 and 8 yearsMore than 8 years
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?

E-TransferACH Bank TransferCredit CardCheque
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

$25.00CAD

Professional (Affiliated) Membership

$50.00CAD

Professional Membership

$80.00CAD

Professional + Membership

$200.00CAD

Non-Profit Organization/Industry Stakeholder Membership

$300.00CAD

Service Supplier Membership

$500.00CAD

Production Company (1 Producer) Membership

$500.00CAD

Production Company (2 Producers) Membership

$1,000.00CAD

Total

$0.00CAD

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.

Credit Card