Form Yg(5473q) F2 - Yukon Enterprise Trade Fund Application Form/film Sound Industry
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2YUKON ENTERPRISE TRADE FUND APPLICATION
FILM AND SOUND INDUSTRY
Please complete the application as thoroughly as possible. You are encouraged to contact the Yukon Film & Sound
Commission regarding any questions or concerns.
Company Name: ___________________________________________________________________________________
Address: ________________________________________________________________ Postal Code: ______________
Telephone: __________________________ Fax: ___________________ Email: ________________________________
Contact: __________________________________________________________________________________________
Amount Requested for Funding:
$ _____________________
Project Name _____________________________________________________________________________________
________________________________________________________________________________________________
Project Start Date: ________________________________ Project End Date: _________________________________
We are submitting this application for the purpose of obtaining financial assistance from the Yukon Government. The statements
herein, including all further submissions in regard to this application are, to the best of our knowledge, true and correct.
We submit that, to the best of our knowledge, all aspects of this proposed project will be in compliance with existing municipal,
territorial and federal codes, guidelines and laws and we declare that our business/organization is in good standing and that
any debts owed the Yukon Government are in good standing.
We agree to allow representatives of the Yukon Government access to the site and premises of the project described in this
application, to inspect the bookkeeping and records, to make inquiries and credit checks and to obtain all other pertinent
information necessary to evaluate this application.
We understand that all of part of this application may be made available to the public in accordance with the Access to
Information and Protection of Privacy Act.
Name(s) and title(s) of authorized official(s) (please print):
_____________________________
________________________________
_____________________________
________________________________
Signature(s):
__________________________
_____________________________
Date:
_____________________________
Please note, that if your project changes (including, but not limited to, changes in travel destination and/or dates) between
submission of application and submission of reporting, you must obtain approval from YFSC prior to changes taking place.
Failure to do so may result in expenses being denied.
YG(5473EQ)F2 Rev.03/2015
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