FAX COVER SHEET PHOTOGRAPHER _____ PHONE EMAIL _ PRODUCER

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2008 FAX COVER SHEET PHOTOGRAPHER: _____________________________________ PHONE: _________________ EMAIL: ____________________ PRODUCER: _________________________________________ PHONE: _________________ EMAIL: ____________________ DELIVERY TIME: ______________ AM / PM DATE: ___________ LOCATION: __________________________________________ PREFERRED FORM OF DEPOSIT (CHECK ONE): CERTIFICATE OF INSURANCE CREDIT CARD AUTHORIZATION 623 434.5003 Loft 19 Studios Fax Order Form - 2008 Edition 21618 N. 9th Ave Suite A Phoenix, AZ 85027 Telephone: 602.430.3566 Fax: 623.434.5003 Email: info@loft19.com Conﬁdentiality Note: The facsimile is intended only for the person or entity to which it is addressed and may contain information that is privileged, conﬁdential, or otherwise protected from disclosure. Dissemination, distribution, or copying of this facsimile or the information herein by anyone other than the intended recipient or an employee or agent repsonsible for delivering this message to the intended recipient is prohibited. If you have received this facsimile in error, please call us immediately by telephone and return the facsimile by mail PHOTO + VIDEO RENTAL ELECTRONIC FLASH Profoto Pro 7A 2400 Power Supply Profoto Pro 7A 2400 Kit (Includes Head + Stand) Profoto Pro 7B 1200 Power Supply Profoto Pro 7B 1200 Kit (Includes Head + Stand) Profoto Pro 7B Spare Battery Profoto Pro 7 Head w/Zoom Reﬂector Profoto Pro 7 Twin Head (Bi-Tube) w/Magnum Profoto Pro Ring Flash Profoto Softlight Reﬂector For Ring Flash Profoto Softlight Reﬂector White (Beauty Dish) Profoto Softlight Reﬂector Silver Profoto Grid For Softlight Reﬂector Profoto Diffuser For Softlight Reﬂector Profoto Magnum Reﬂector Profoto Grid For Magnum Reﬂector Profresnel Spotlight W/Barn Doors Profoto Grid Reﬂector 7” Circular 7” Grid Set 10˚, 20˚, 30˚, 40˚ Profoto Snoot Profoto Barndoors Profoto Gridholder Profoto 10 Meter (32’) Head Extension Cable Profoto 5 Meter (16’) Head Extension Cable Profoto 5 Meter (16’) Power Supply Cord PocketWizard Sync Cord (PC To Profoto) LIGHT MODIFIERS Broncolor Para 220 7.2’ Parabolic Umbrellla Elinchrom Octabank 74” W/Profoto Adapter Profoto White Umbrella 41” Photek White Umbrella 46” w/Diffusion Westcott Silver Umbrella Chimera Super Pro Plus Large 54”x72” Chimera Super Pro Plus Medium 36”x48” Chimera Super Pro Plus Small 24”x32” Chimera Super Pro Plus Xsmall 16”x22” Chimera Super Pro Plus Strip 14”x56” Lighttools Grids For Chimera Softbox (Specify) Profoto Metal Speedring For Chimera BOOM ARMS Bogen Super Boom W/Counterweight + Junior Stand Avenger Mini Boom $ 70 100 60 90 25 30 50 50 15 20 20 20 5 15 15 35 10 10 10 10 10 15 10 $ 250 60 7 7 5 25 20 15 12 20 15+ 5 $ 30 15 # SLAVES & METERS CAMERA SUPPORTS # Arri 12K HMI Par Arri 6K HMI Par Arri 4K HMI Par Arri 2.5K HMI Par Arri 1.2K HMI Par # CONTINUOUS LIGHTING 2K Space Light 6K Space Light 5K Sky Pan 20K Tungsten Fresnel 10K Tungsten Fresnel 5K Tungsten Fresnel 602.430.3566 $ 75 150 120 500 165 100 65 50 650 550 375 325 250 200 175 675 525 425 375 200 295 150 135 80 80 35 $ 15 12 25 10 50 10 $ 15 12 15 20 # # # 2K Tungsten Fresnel (Baby/Studio/Blondies) 1K Tungsten Fresnel (Baby Baby) Arri 18K HMI Fresnel Complete Arri 12K HMI Fresnel Complete Arri 6K HMI Fresnel Complete Arri 4K HMI Fresnel Complete Arri 2.5K HMI Fresnel Complete Arri 1.2K HMI Fresnel Complete Arri 575 HMI Fresnel Complete KinoFlo 4Bank Select Pro Kit (4x Kinoﬂo 4Bank Select) KinoFlo 4Bank Select Pro Kit (2x Kinoﬂo 4Bank Select) KinoFlo Flathead 80 Complete KinoFlo 4ft 4Bank Complete KinoFlo 2ft 4Bank Complete KinoFlo Extra Ballast Gitzo 7’ Studex Rapid Column Tripod Bogen 6’ Three-Section Tripod Arca Swiss B1 Quick Release Ballhead Bogen 3021 Three-Way Pan Tilt QR Head Foba 9’ Rolling Studio Stand Bogen Monopod Pocket Wizard Multimax Transceiver W/Profoto Sync Sekonic L-358 W/Radio Transmitter Sync Minolta Flash Meter IV Minolta Color Meter IIIF PHOTO + VIDEO RENTAL STANDS, FRAMES, RAGS 40” C+ Century Stand Kit W/Turtle Base (Max 10.5’) 20” C+ Century Stand Kit W/Turtle Base (Max 5’3”) Hi-Hi Overhead Rolling Stand W/4.5” Head (Max 20’9”) Junior Rolling Stand (Max 12’9”) Low-Boy Junior Rolling Stand (Wind Machine Stand) Baby Rolling Stand (Max 9’5”) Beefy Baby Stand W/Rocky Mountain Leg (Max 12’4”) Mombo Combo W/Menace Arm (Max 28’) Magic Stand (Built-In Boom, Magic Finger, Rolling Base) 18”x24” Medium Flag (Solid) 18”x24” Medium Single Scrim (Net) White 18”x24” Medium Double Scrim White 18”x24” Medium Silk 24”x36” Large Flag (Solid) 24”x36” Large Single Scrim (Net) White 24”x36” Large Double Scrim (Net) White 24”x36” Large Silk 24”x36” Cucoloris (Cookie) 48”x48” Cutter (Solid) 48”x48” Single/Double Scrim (Net) White, Silk 48”x48” Floppy 24”x72” Cutter (Solid) 6’x6’ Frame Complete 6’x6’ Single/Double Scrim (Net) White 6’x6’ Artiﬁcial Silk (Light Diffusion) 6’x6’ Grid, Light Grid, 1/4 Grid Cloth (Heavy Diffusion) 6’x6’ Griff (Soft Reﬂector) 8’x8’ Frame Complete 8’x8’ Single/Double Scrim (Net) White 8’x8’ Artiﬁcial Silk (Light Diffusion) 8’x8’ Grid, Light Grid, 1/4 Grid Cloth (Heavy Diffusion) 8’x8’ Griff (Soft Reﬂector) 12’x12’ Frame Complete 12’x12’ Single/Double Scrim (Net) White 12’x12’ Artiﬁcial Silk (Light Diffusion) 12’x12’ Grid, Light Grid, 1/4 Grid Cloth (Heavy Diffusion) 12’x12’ Griff (Soft Reﬂector) 20’x20’ Frame Complete 20’x20’ Single/Double Scrim (Net) White 20’x20’ Artiﬁcial Silk (Light Diffusion) 20’x20’ Grid, Light Grid, 1/4 Grid Cloth (Heavy Diffusion) Crossbar/Speedrail 10’, 15’, 20’ $ 8 6 18 12 12 10 8 30 12 4 4 4 4 4 4 4 4 7 7 7 15 8 25 25 25 25 25 30 30 30 30 30 35 35 35 35 35 80 80 80 80 1/FT GRIP SPECIAL EFFECTS Reelefx Re-II Turbo Fan Medium Format Camera # DISTRO 600Amp Distro Box Camlock 3-Fers 3 Ft Box Jumpers - 4OT 25’ Bates 50’ Bates 60Amp 50’ Bates 100Amp 100Amp/60Amp Splitter 100Amp Edison Gang 60Amp Edison Gang 50’ Stingers 25’ Stingers 602.430.3566 $ 22 100 10 20 8 10 12 10 18 12 5 4 60 $ 60 28 20 25 28 40 10 15 15 20 10 # # 100Amp Distro Box (10 110v Outlets) Honda 2000W Portable Generator Mamiya RZ Pro II Kit (Body, Wlf, 120 Back, 110mm) Mamiya RZ Pro II (Body Only) RZ PD Prism Finder RZ AE Prism Finder II RZ 50, 65, 90, 110, 150, 180mm Lens RZ 210mm APO F/4.5 Lens RZ Extension Tube #1 & #2 (Specify) RZ 120, 220 Film Back (Specify) RZ Polaroid Back RZ Power Winder II RZ Pocket Wizard Remote Trigger Cord $ 45 125 50 # Reelefx Hazemaker High-Capacity Diffusion Rosco Fog Maker $ 3 4 1 4 3 4 2 2 3 1 # Apple Box Full, Half, 1/4, Pancake (Specify) Super Clamp W/Snap-In Baby 5/8” Pin J-Hooks (U-Hooks) For Super Clamp Big Ben (Scaffold) Clamp W/Junior 1 1/8” Pin Stand Adapter Junior 1 1/8” To Baby 5/8” (B Plug) Baby 5/8” Triple Header Baby Plate 6” 6” Baby Pin W/Collar Black 25/35 Lb. Sandbag A-clamp 1”, 2”, 3” (Specify) PHOTO + VIDEO RENTAL SETS/PROPS Flat Wall & Jacks - Custom Size (Specify) Paint (Specify Color & Amount) Paint Roller/Pan/Dropcloth EXPENDABLES/SUPPLIES Seamless Paper 9’x12yds. (Per Roll) (Specify) Seamless Paper 12’x50yds. (Per Roll) (Specify) Rosco/Lee Gel Sheet (Specify) Rosco/Lee Gel Roll (Specify) Rosco/Lee Diffusion Sheet (Specify) Rosco/Lee Diffusion Roll (Specify) Gaffers Tape 2” White Or Black Duvetyne Roll (Per Foot) Cinefoil 24”x25’ Roll Foamcore 4’x8’ White/Black (Rental Or Expendable) Foamcore V-Flat White Or Black Fill Board Gold Fill Board Silver Acrylic (Plexi) 4’x8’ 1/4” Thick Sheet (Specify) Acrylic (Plexi) 4’x8’ 1” Thick Sheet Clear (To Stand On) Wood 4’x8’ Sheet (Specify Birch, Plywood, Luan, Etc.) Ladder 6ft, 8ft, 12ft (Specify) Heavy-Duty Rolling Clothes Rack (On Location) Steamer (On Location) Iron/Ironing Board (On Location) Dolly/Magliner W/Shelf (On Location) Space Heater (On Location) Tools/Power Tools (Specify) Hydraulic Scissor Lift (Studio Only) SERVICES (CALL TO SPECIFY) Catering Hotel Reservations Car Service/Transportation Sets/Props/Furniture Private Party/Event/Meeting/Seminar LABOR Qualiﬁed Photo Assistant (Rate Negotiable) Messenger (Rate Negotiable) 75 18 4 30 10+ 15 8 8 30 100 20+ 10 10 20 10 40 10 8 95 225 8 25 602.430.3566 OTHER ITEMS/DETAILS/SPECIAL INSTRUCTIONS Loft 19 Studios 21618 N. 9th Avenue Suite A Phoenix, AZ 85027 Tel: 602.430.3566 Fax: 623.434.5003