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ENTRY FORM

PART 1

PRODUCTION INFORMATION

Production Title:

Name of Filmmaker:

Length:

Production Year:

B&W:

Color:

B&W/Color:

 

Original Format:

 

Tour: Yes ¨ No ¨ (Will your film be available for 6 month tour?)

$35 Entry Fee Included: Yes ¨ No ¨ Stamped self-addressed envelope included Yes c No c

 

If your film is selected for inclusion in the Hollywood Video RAW STOCK HV Compilation Video Tape, exclusive rights will be granted to RAW STOCK for the purpose of compilation tape distribution/rental at all HV stores across the country for a period not to exceed 120 days.

Hollywood Video Tape: Yes ¨ No ¨ (Will your film be available for HV tape?)

 

The filmmaker owns the rights to this production: Yes ¨ No ¨

 

SHIPPING/MAILING/CONTACT INFORMATION:

Address:

Street

City:

State:

Zip:

 

Telephone:

Fax:

E-mail:

 

ADDITIONAL INFO:

How did you hear about the festival?

 
 
 

Is this a first film?

 

Ethnicity & Gender requested for statistical purposes only. Please check accordingly:

Gender: Female ¨ Male ¨

 

Ethnicity:

 
 

 

PART 2

BRIEF PRODUCTION DESCRIPTION:

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

BRIEF DESCRIPTION OF FILMMAKER:

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

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For office use only:

Entry fee paid: Cash Check Film #: Weight:

UPS U.S.P.S. FED X Pick-up Postpaid Other