PELOTON PICTURES | LONG APPLICATION FORM
DETAILED PROJECT INFORMATION

English |
Welcome to the Long Application Form of Peloton Pictures.
For additional information, please click on the yellow information buttons. The information will appear in three languages (English, Dutch and French) in a pop up screen.

The Long Application Form is an online-form. We recommend that you review the questions first before filling in the answers. Alternatively you can print out the form and any popup info page you might want, to enable you to gather all the information at your own convenience.

If you are not in a position yet to know the requested information leave answers blank; only supply provisional answers if you have reliable grounds to believe they will come true.

If you have all the requested information at hand, it should take you approximately 20 minutes to fill in this form.

Always fill in and submit the short application form first!

Nederlands |
Welkom op het lange applicatieformulier van Peloton Pictures.
Voor meer informatie over de in te vullen gegevevens kunt u op de gele info- buttons klikken. De informatie verschijnt dan in drie verschillende talen (Engels, Nederlands en Frans) in een pop-up scherm.

De Long Application Form is een online formulier. We raden U aan om de vragen eerst globaal door te nemen voordat U ze gaat beantwoorden. U kunt ook het formulier uitprinten, net zoals de popup informatie pagina’s wat U in staat stelt om alle informatie eerst rustig te verzamelen.

Als u sommige vragen nog niet kunt beantwoorden vul dan niets in, verstrek alleen voorlopige antwoorden als u redelijkerwijs denkt dat de antwoorden waarheid zullen worden.

Als U alle gevraagde informatie bij de hand heeft, duurt het ongeveer 20 minuten om het formulier in te vullen.

Stuur altijd eerst het ingevulde korte applicatieformulier in!
Français |
Bienvenue sur la page du formulaire de candidature (version longue).
Pour obtenir des informations supplémentaires, veuillez cliquer sur les liens d’informations jaunes. Les informations appaîtront dans une nouvelle fenêtre et en trois langues (anglais, néerlandais et français).

Ce formulaire est un formulaire en ligne. Nous vous recommendons de lire toutes les questions avant de commencer à remplir les réponses. Vous pouvez aussi imprimer le formulaire et n’importe quelle bulle informative, pour vous permettre de rassembler toutes les informations comme vous le souhaiter.

Si vous ne connaisser pas certaines informations pratiques, laisser la réponse vide,ne donnez uniquement des réponses provisoires si vous vous basez sur des informations fiables qui vous font croire qu'elles vont se réaliser.

Si vous disposer de toutes les informations à portée de main, 20 minutes devraient vous être nécessaire pour remplir ce formulaire.

Commencez toujours par remplir et envoyer le formulaire simplifié !


01. | Title

Title (required/ verplicht/ obligatoire)

02. | Synopsis
Synopsis (max. 50 words)

03. | Length of Picture
Length in minutes

04. | Genre
Genre

(* Optional) Other genre

05. | Producing Company
Name (required/ verplicht/ obligatoire)
Address
City and zipcode
Country

(*Optional) Other country

Phone
Fax
E- mail (required/ verplicht/ obligatoire)
Legal status

06. | Company registration number
ID number

07. | Single purpose company
Yes No

08. | Legal owners
List all the legal owners

09. | Parent company
Name Country

(*Optional) Other country

Legal status

10. | Company registration number
ID number

11. | Legal owners
List all the legal owners of the Parent company

12. | Company's legal history
Status

Details

13. | Owner's legal history
Status

Details

14. | Belgian Co - producing Company
Name
Address
City and zipcode
Country

Contact person

Phone
Fax
Legal status

15. | Company registration number Belgian co- producing company
ID number Belgian Co- producing company

16. | Single purpose company
Yes No


17. | Legal Owners

List all the legal owners of the Belgian Co-Producing Company



18. | Company's Legal History

Company's Legal History


Details



19. | Owner's Legal History

Owner's Legal History


Details



20. | Co-Production Companies

Co-Production Company A

Country


(*Optional) Other country


Producer

Agreement status


(*Optional) Other agreement status




Co-Production Company B

Country


(*Optional) Other country


Producer

Agreement status


(*Optional) Other agreement status




21. | Rights

Script based on


(*Optional) Other:


Written / created by

Underlying rights

Expiry date

Script rights

Expiry date

Rights restrictions


(*Optional) Other




22. | Chain of Title

Chain of Title
(required/ verplicht/ obligatoire)


(*Optional) Other




23. | Legal Review

Firm Name

Lawyer

E-mail


24. | Key Crew / Cast

Director

Status


Line Producer

Status


Director of Photography

Status


Production Designer

Status


First Lead

Status


Second Lead

Status




25. | Shooting

Total shooting days

First shooting day

Last shooting day

Delivery first print


26. | Principal Locations

Locations

Country


(*Optional) Other country




27. | Studio

Name

Number of Days

Country


(*Optional) Other country




28. | Budget

Top Sheet
(required/ verplicht/ obligatoire)


Detailed Budget
(required/ verplicht/ obligatoire)


Expenditure Breakdown
(required/ verplicht/ obligatoire)


Belgian Spend (in %)
(required/ verplicht/ obligatoire)

2nd Country Spend (in %)

3rd Country Spend (in %)




29. | Completion Bond

Name

Status


Contact person

E-mail



30. | Sales Agent

Name

Status


(*Optional) Other status


Contact person

E-mail

Commission (in %)

Capped Expenses (in €)



31. | Financiers

Source A


(*Optional) Other


Name

Contact Person

E-mail

Amount (in €)


Status


(*Optional) Other


Recoup Position


(*Optional) Other




Source B


(*Optional) Other


Name

Contact Person

E-mail

Amount (in €)


Status


(*Optional) Other


Recoup Position


(*Optional) Other




Source C


(*Optional) Other


Name

Contact Person

E-mail

Amount (in €)


Status


(*Optional) Other


Recoup Position


(*Optional) Other




Source D


(*Optional) Other


Name

Contact Person

E-mail

Amount (in €)


Status


(*Optional) Other


Recoup Position


(*Optional) Other




32. | Theatrical Release

1st Country


(*Optional) Other country


Distributor

Release Date

P&A (in €)

Target Box Office (in €)



2nd Country


(*Optional) Other country


Distributor

Release Date

P&A (in €)

Target Box Office (in €)



3rd Country


(*Optional) Other country


Distributor

Release Date

P&A (in €)

Target Box Office (in €)




33. | Info cc

Name A

Company / Firm

E-mail

Selection


(*Optional) Other status



Name B

Company / Firm

E-mail

Selection


(*Optional) Other status



Name C

Company / Firm

E-mail

Selection


(*Optional) Other status



34. | Other

Other remarks




Submit your request