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Title of Production: __________ ___
Total Run Time: ________________________________________
Director's Name and Nationality:_________________________
____________________________________________________
Genre:  Narrative Documentary Animation Educational/Training
Date Production Completed: __ ____ ____________
Country of Setting: _____ ____ _________________
Original Language: ______________________________________
(Please note: Must have ENGLISH sound track or subtitles.)
Entrant's name, and relation to production:__________
____________________________________________
Address of entrant ___________________________
City/State/Zip (or City/Country/Mail Code) ____________
Phone: _______ ___ Fax: ___ ______ ____
E-mail: _ _________________________________
Contact Person (if different from entrant):
_______________________
Address of Contact Person: ___ ______
_____________________________________________________
City/State/Zip (or City/Country/Mail Code) _______
Phone: _______ ___ Fax: ___ ______ ____
E-mail: _ ______________________
Distributor's Name and Address: ___ ____
____________________________________________________
City/State/Zip (or City/Country/Mail Code) _______
Distributor Phone: __ __ Fax:_________
E-mail: _ _________________________________
Was the filmmaker a student when he/she made the piece? Yes No
What College or University? ______________________________
Exhibition Formats Available: DVD-NTSC BetaSP VHS-NTSC
How did you learn of the Silver Images Film and Video Showcase?
_____________________________________________________
Signature: _______ Date: __________
Please submit the following with this entry form:
- A synopsis of the film or video of up to 100 words.
- A listing of credits and cast.
Submit materials to:
Silver Images Showcase
9848 South Winchester Avenue
Chicago, IL 60643
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