Broadcast Education Association
Production Aesthetics and Criticism Division (PAC)
2002 International BEA Festival of Film, Video and Media Arts
Entry Form
E-mail:___________________________
Address:
____________________________________________________
____________________________________________________
Phone: __________________________
Fax:_____________________________
Title of Entry:_________________________________________
Production Company: __________________________________
Entrant's Role in the Production:
_________________________________
Completion Date: _________________
Program length: __________________
Production Budget: $_______________
Original Medium: __________________
| Category (Check One) | |
| __ Educational/Instructional
__ Narrative __ News __ Documentary |
__ Promotional
__ Commercial/PSA __ Mixed |
Entry Fee: $35.00 (Please make check or money order payable to Broadcast Education Association)
I, the undersigned, hereby warrant that I own and/or have obtained legal clearance or license to all program contents including but not limited to still and moving pictures; writings; talent; music and all other images and sounds. I further affirm that I have the authority or authorization to submit the enclosed program with this application. Additionally, my organization and I will hold the Broadcast Education Association harmless for any and all suits or liabilities arising from any alleged or actual violations of copyright or other rights, or loss of programs submitted. I understand that the winning entries will be screened at the 2002 Broadcast Education Association Convention. I hereby certify and represent that I have read the foregoing and fully understand the meaning and effect thereof and, intending to be legally bound, I have hereunto set my hand this day of ____________, 2001.
Signature________________________________
