The 30TH Annual CIN(E) POETRY, May 19th 2006
Film Festival Application Form

Cash Prizes: $200, $100, $75 and $50

Submission Deadline: May 16th 2006

Title:

 

Description:

 

Duration:

 

Format:

VHS DVD

Submitted by:

 

Address:City: State:ZIP:
Phone:Fax: Email:

Comments:

 

Please read carefully and sign:

I hereby allow LTV (Literary Television) to preview my work, and if accepted for the Fesitval, grant permission to broadcast my work for promotional purposes. I declare that all rights have been secured including but not limited to copyrights, trademarks, credits and licensing for all material used in entered work. I also understand the festival and its sponsors cannot be held responsible for loss or damage to entry materials.

Signed:___________________________ Date:____________

Mail your clearly printed form with your submission(s) and $15 entry fee per submission to:

LTV c/o The National Poetry Association
934 Brannan Street 2nd Floor
San Francisco, CA 94103

LITERARY TELEVISION / CIN(E)POETRY FILM FESTIVAL ARE PROJECTS OF THE NATIONAL POETRY ASSOCIATION INC. 501(c) 394267 5423