| State/Country where film was made: |
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| Previous Screenings/Festivals: |
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| * Date Completed: |
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| State |
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| Category |
Feature
Short
Documentary
Music Video
Other |
| Genre 1): |
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| Genre 2): |
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| Original format |
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| Exhibition format: |
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| Aspect Ratio |
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| Optical Sound Format: |
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| How did you hear about this festival?: |
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| Certification of Film Entrant: |
| I acknowledge and agree as follows: |
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