--SAMPLE FORM-- 2006 ENTRY FORM Please fill out this form and send it with your submission. Eight (8) discs with your submission, 8 completed entry forms and 8 copies of any supporting materials must be sent to our Awards office by October 7 for the judging process. Please review the checklist at the bottom of this document for shipping details. I CONTACT INFORMATION A. Enter contact information for the individual who is the contact for further communications (questions about your application, awards notification, next year's entry materials, etc.) Name: _________________________ Organization:__________________ Title: ________________________________________________________ Address: _____________________________________________________ City:___________________ State: ____ Zip:_______ Country:__________ Phone: ______________ Fax: ________________ Email: ______________ B. Please indicate key executives or creative personnel for your entry (e.g. writer, director, producer, editor, talent). Use a separate sheet of paper (titled KEY PERSONNEL) to add names. Please note that up to three individuals will be recognized for contributions to entries that receive awards. Please include contact information for co-producers/co-publishers, if applicable. Name: _________________________ Organization:__________________ Title: ________________________________________________________ Address: _____________________________________________________ City:___________________ State: ____ Zip:_______ Country:__________ Phone: ______________ Fax: ________________ Email: ______________ For questions about eligibility or other rules and guidelines, please see 2006 AWARDS RULES & GUIDELINES. By entering the Awards and signing below you acknowledge that you have read and that you agree to be bound by the 2006 AWARDS RULES & GUIDELINES, which are fully incorporated in this Entry Form. __________________________________________ Signature --SAMPLE FORM-- II. KEY ENTRY DATA A. Entry Title: ____________________________________________ B. Category: _____________________________________________ C. Entry Description: This is optional, but if you would like to send a short description of your entry, please create a document (no more than 300 words), titled ENTRY DESCRIPTION. This should be included on each of the 8 discs with your entry. D. Supporting Materials: Please submit 8 copies of any physical supporting materials. If you are submitting an entry for the BEST OF SHOW CATEGORY, please include 20 copies of supporting materials. CHECK LIST - Did you remember to include the following? Please send 8 discs with the following materials no later than October 7: - 8 copies of the submission and any artwork - 8 copied of this completed and signed Entry Form - 8 copies of any supporting materials Send materials to: Address will be provided in the official Entry Form which will be sent to you by email once your online payment has been received. Please visit www.BillboardEvents.com in order to submit your entry. Need help or have a question? Contact Ned Sherman, Digital Media Wire, Inc. Phone: 323-822-0936 Fax: 323-372-3849 email@example.com We look forward to seeing you at the 2006 DEMMX Awards Gala on November 29, 2006 in Los Angeles Don’t forget to register for the DEMMX Conference & Awards at www.billboardevents.com Thank you! This is a sample Entry Form. Any entries received using this form are not eligible. The official entry form will be sent by email once your submission payment has been received.
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