43rd Annual Film & Video Festival: Call for Entries: Submission Form

43rd Annual Film & Video Festival: Call for Entries: Submission Form

Submission Form

Part 1 of 2

This form must be completed and submitted online. Please print five hard copies submitted with five DVD copies of your film. Deadline: July 6, 2009

Title of Film/Video
Producer(s)/director(s)
Contact Person
Street Address
Street Address 2
City
State
Zip code
Telephone
Email

Distributor
Distributor Contact
Street Address
Street Address 2
City
State
Zip code
Telephone
Email
Website(s) for film

Submitted by (if other than producer/director/distributor)
Contact Person
Address
Address 2
City
State
Zip code
Telephone
Email
Year Film Initiated
Year Film Completed
Production Budget
Outreach Budget
Please list all private, community, corporate grantmakers or donor networks contributing to the production or distribution of the film/video.
Funder(s)	(2000 character limit)
Type/Amount of Funding (e.g., R&D, production, pre- or post-production, distribution)	(2000 character limit)
Funder Contact Person	(2000 character limit)
Funder Telephone Number	(2000 character limit)
Funder Email Address	(2000 character limit)