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Application Form

                  Moving Pictures Fall 2007 Short Film Contest Application

Category (circle one):
Narrative                      Documentary               Animation

Original Title_____________________________________________________

Key Crew (only 1 filmmaker will be eligible for prize):
Director_________________________________________________________

Screenwriter_____________________________________________________

Actors___________________________________________________________

Running Time ____________

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Payment (circle one):
Check enclosed             Credit Card (please download and fill out credit authorization form)

Amount ________ 

Deadlines:
November 6 - Earlybird deadline - $35
November 19 - Regular Deadline - $40
November 26 - Late Deadline - $50
December 3 - Extended - $60

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Contact Info (name of entrant):
Name__________________________________________ Date_____________

Address_________________________________________________________

City ____________________________ State_____ Zip Code______________

E-Mail ______________________________ Phone Number _______________

Please Enclose:
Entry Form (with Credit Auth. Form if applicable)
Signed Terms & Conditions Form
A minimum of 2 DVD copies of submission film

Send to:
Fall 2007 Short Film Contest
Attn: Laurie Trotta
7330 N. 16th Street
Suite A314
Phoenix, AZ  85020

Or submit through Withoutabox:

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