Shootout Registration

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We encourage every member of a team to register, although only one person on a team must register in order to submit a film.

Important Dates:

Late Registration fee of $90 must be received between 1-4 June

THE EVENT DATE IS JUNE 5TH EVENT: THE 72 HOUR SHOOTOUT FILMMAKING COMPETITION!

Name of Registrant

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home or Mobile Phone Number:*

E-mail:*

Team Name #:

Team Leader's Name (if known)

Team “Tag Line"#:

Team /Individual URL# (facebook, etc.):

An opportunity for Trash Talk for your other competitors# (keep it clean please):

Please electronically sign this form by writing your name here:

Further, I understand that complete submission forms for each team member must be submitted upon completion of the competition for my film to be eligible for consideration in the 72 Hour Film Shootout.

Select your registration entry:*(Required)

Last Minute Registration Fee (Before End of Shootout)

Total

Credit Card(Required)

Card Details

Cardholder Name

Shootout Registration

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