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AMV Contest Entry Form
Please Read the AMV Contest Rules first.
Please type or print clearly.
Assume we can't read your handwriting.
For best results submit this form as a digital file along with your AMV Entry.
Real Name(s) of Contestant(s): ______________________________________
_____________________________________________________________________
Mailing Address: ____________________________________________________
_____________________________________________________________________
City: ______________________________ State/Province: ________________
Country: ____________________ Zip/Postal Code: ______________________
Evening (or Weekend) Phone Number: (_____) _____ - _______
Contact E-mail Address: _____________________________________________
_____________________________________________________________________
Web Page (optional): http:// ________________________________________
VIDEO INFORMATION:
Video #1
Title of Video: _____________________________________________________
Song Title: _________________________________________________________
Artist(s): __________________________________________________________
Video Source(s) (as many titles as fit here): _______________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Your Name(s) to Appear in Credits/Ballot (if not your real names):
_____________________________________________________________________
Date Video Completed (exact or approximate): ______ / ______ / _____
VIDEO 1 CATEGORY: (see rules for details)
___ Drama
___ Romance
___ Action
___ Comedy
___ Fun/Upbeat/Other
___ Non-Competing (Staff)
If
your entry does not make it to the finals, would you like it to be
considered for inclusion in a general non-competing anime music video
screening?
___ No, competition only. ___ Yes! I want it to be seen no matter what!
Video #2 (optional)
Title of Video: _____________________________________________________
Song Title: _________________________________________________________
Artist(s): __________________________________________________________
Video Source(s) (as many titles as fit here): _______________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Your Name(s) to Appear in Credits/Ballot (if different from above):
_____________________________________________________________________
Date Video Completed (exact or approximate): ______ / ______ / _____
VIDEO 2 CATEGORY: (see rules for details)
___ Drama
___ Romance
___ Action
___ Comedy
___ Fun/Upbeat/Other
___ Non-Competing (Staff)
If
your entry does not make it to the finals, would you like it to be
considered for inclusion in a non-competing anime music video
screening?
___ No, competition only. ___ Yes! I want it to be seen no matter what!
VIDEO INFORMATION:
Video #3
Title of Video: _____________________________________________________
Song Title: _________________________________________________________
Artist(s): __________________________________________________________
Video Source(s) (as many titles as fit here): _______________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Your Name(s) to Appear in Credits/Ballot (if not your real names):
_____________________________________________________________________
Date Video Completed (exact or approximate): ______ / ______ / _____
VIDEO 3 CATEGORY: (see rules for details)
___ Drama
___ Romance
___ Action
___ Comedy
___ Fun/Upbeat/Other
___ Non-Competing (Staff)
If
your entry does not make it to the finals, would you like it to be
considered for inclusion in a general non-competing anime music video
screening?
___ No, competition only. ___ Yes! I want it to be seen no matter what!
SIGNATURE(S):
I/We hereby certify that we have read and will abide by the rules of this contest .
Signature: ______________________________________ Date: _____________
Signature: ______________________________________ Date: _____________
Signature: ______________________________________ Date: _____________
If
you will not be attending the convention and would like a friend to act
as a proxy and accept any award(s) you may win, please provide that
person's name here. Your award(s) will not be handed over to anyone
other than the people listed above or the proxy listed below.
Full (Real) Name of Authorized Proxy: _______________________________
Please mail submissions so they are received by June 1st, 2008 to:
PersaCon
ATTN: Evan Helms - AMV Choice Awards
P.O. Box 1035
Madison, AL
35758
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