Filming Prop Form

The City of Busselton collects personal information to process this form and provide the requested services. Information may be used for related City business purposes or disclosed where authorised by law. To learn how your personal information is handled, access the City’s Privacy Statement or contact the Privacy Officer at privacy@busselton.wa.gov.au.

Name*

Phone Number*

Email Address*

Describe your film worthy asset*

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

I agree for my details to be provided to prospective film makers. I will advise the City of Busselton if I wish to withdraw my asset from the register.*

YesNo

Type the code from the image:

The code you entered is not valid.

Get Audio Code

Type the code from the image