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FILL-IN this form on your browser so the
info is typed and readable. |
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- See below for ITEMIZED sending instructions & MAILING ADDRESS - | |
| Your E-Mail Address: | |
| Company Name if any: | |
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First
and Last Name:
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Street
Address:
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City:
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State
or Province:
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Zip
or Postal Code:
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Country if not USA: |
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| Please
tell us how you heard about the Action/Cut Short Film Competition: |
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| Are
You Paying Entry Fee With Enclosed Check Or Money Order: |
No
Yes (If YES, skip down to Phone Number and continue) |
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If
Paying By Credit Card - Type:
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Credit
Card Number:
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Expiration
Date:
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Person's
Name on Credit Card:
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| Is
Billing Address for Credit Card the same as your mailing address above: |
Yes |
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not the same, write the Billing Address for this Credit Card here: |
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Your
Phone #:
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Your
Fax #:
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| Are you an Action/Cut Filmmaking Seminar Graduate? | Yes No |
| Permission
for Action/Cut to privately screen your film, to Industry Pros for your career promotion: |
Yes No |
| Was
this film made while attending a film school or university/college film program? |
Yes No (Check Yes if entering Student Category) |
| If
entering as a Student Film, name of school or university/college: |
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| If
entering a Music Video, write title of song and the artist or group performing: |
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| DIRECTOR: Write here a short biography of yourself including your age, film education, previous films, and career objective. (5 lines only within window size - no scrolling) |
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| DIRECTOR: Write here your inspiration to make this film and your vision in how you wanted to tell this story. (5 lines only within window size - no scrolling) |
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| DIRECTOR: Write here a short plot synopsis of the story. (5 lines only within window size - no scrolling) |
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| THE
TITLE OF YOUR FILM: (In English if foreign entry) |
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