SUBMISSION
FORM Category Running Time(minutes):_______
CONTACT INFORMATION: CONTACT PERSON:_________________________Postion:_______________ Production Company:__________________________________________ Mailing Address:______________________________________________________ City:__________________________ State/Country:__________________________ Telephone:__________________________Fax:__________________________ How did
you hear about ZoieFilms?_____________________________________________
FILM INFORMATION COUNTRY OF ORIGIN_______________________________________ ORIGINAL LANGUAGE_______________________________________ ENGLISH SUBTITLES :YES_______NO___ VIDEO
TAPE: Does
the film have all clearances and rights for distribution? Genre:_______________________________ Production Format:__________________________________ FORMAT:Color_______ B&W_______
Signature:
____________________________________________________________________
I hereby certify that:
Paying by credit card? Name: ______________________________________ Address: _________________________ City________________ State__________________ Zip Credit card number:____________________________________________ Expiration date:___________ Cvs code:______________ (3-digit security number on the back of the card)
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