| E n t r y F o r m |
| Print out and complete this form. Send the completed form and a VHS or DVD copy of the film/video entry to: |
| Salem Independent Horror Film Festival, 83 Essex St. #2, Salem, MA 01970 |
| Title:______________________________________________ Duration:_________________ Catagory: Short Program (up to 40 minutes):_____ Long Program (40 minutes or more):_____ Director:______________________________ Contact Person:_______________________ Phone:__________________ Street Address:______________________________________ City:_____________________ State:_____ Country:____________ Zip Code:__________ E-Mail:_____________________________________ Director Date of Birth:_______________ The description of the film or video (12-30 words): ______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ I have read and agree to abide by all Salem Independent Horror Film Festival rules and regulations and agree to accept the judging procedure as it stands. Signature:_______________________________________________ Date:_________________ |
| Include a check or money order in the specified amount ($25 for Short Program, $35 for Long Program) made out to: |
| Orange Lotus Productions |
| salem |
| independent horror film festival |