MICROCINEFEST 2006 ENTRY FORM: (Deadline for entries is July 14, 2006 - postmarked)

Title:

Filmmaker's name:

Entrant's name (if different from filmmaker - this is the person who we will be dealing with regarding this entry):

Contact info. as it should appear in our program book and on our website (address, phone, email, url):

Entrant's contact info (if different from above) (a mailing address is required here or above):

Length:

Shooting format (what format did you shoot/create with?):

Screening format (what format will it be projected on?): VHS MiniDV DVcam DVD BetaSP 16mm Super8 35mm

Year completed:

Brief synopsis:

If entering a music video, what is the band/musician name and song title:

While appropriate steps for safe treatment will be taken for every work entered and accepted, MicroCineFest cannot be held responsible for any loss or damage. All appropriate rights and clearances have been obtained by the entrant, who warrants that he/she/it has legal right to publicly screen and enter their entry into MicroCineFest. By entering MicroCineFest, the entrant understands and agrees to all entry guidelines, requirements, terms and conditions.

Entrant's signature_____________________________date_____________

Send entries to: MicroCineFest, PO Box 50098, Baltimore, MD 21211 USA

Send regular mail only, non-Priority, non-Delivery Confirmation. Include a self-addressed stamped postcard if you require delivery confirmation.

For more information: 410-243-5307, bfink@bcpl.net, www.microcinefest.org

checklist:

• clearly labeled vhs videotape or dvd
• completed entry form information
• appropriate entry fee(with entry title written on the check)
• press materials (optional)
• _____ check here if enclosing a budget for special awards consideration (optional)

BACK