ADDRESS: ______________________________ CITY _______________ ST__ Zip ______
PHONE:(H) __________ (W) __________ (FAX) __________ (CELL/PAGER) ___________
EMAIL: ______________________________ WEBPAGE _____________________________
Title of Film: _________________________ Director: __________________________
Screenwriter: __________________________
Principal Cast: ____________________________________________________________
Who will represent film?: ____________________________________________________
Previous Exhibitions/ Awards:
_______________________________________________________________________
CHECK ALL THAT APPLY:
Category:
___ Feature ___ Short ___ Documentary __ Animation
___ Other
Format(s):
___ 35mm ____ 16mm ___ Beta ___ VHS ___ DVD
Running Time: ______
___ $25 Film Submission Fee*
I would like booth/promotional space __Y __ N
(All screenwriters should mail in Press Kit and one DVD or VHS copy of their film).
___ $70 Tickets 'Literary & Artistic Awards Banquet'
___ $25 Tickets 'Christian & Inspirational Authors Prayer Breakfast'
*You may submit more than one film. Please fill-out separate form per each submission. One check can be written for all films submitted.
DEADLINE: MARCH 1
MAKE MONEY ORDER or CASHIER'S CHECKS PAYABLE TO:
MEMPHIS BWC
(We no longer accept personal or business checks)
Mailing Address:
Attn: Lawrence Wayne, MBWC
5100 Poplar Ave, Ste. 726 -Plaza Level* Memphis, TN 38137
901-680-2018 off
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PAY-ONLINE:
