HomeTown Screening Signup Form

We are experiencing technical difficulties on our server.  Please fill this form out and fax it to 831-333-0386

Congratulations on your winning entry!  This year for the first time you'll have the opportunity to screen your winning production at the HomeTown Video Awards Film Festival to be held at the ACM Conference.  If you have any problems, contact Peri Basseri at peri@bigtimevid.com.

Sign up to today to ensure your screening.  This is a free service for 2005 Home Town winners.  There is no screening charge.  Preference will be given to ACM Conference attendees.  Self promotion at the conference is encouraged. Only fill this form out if you have received a letter indicating that you are a winner.

Producer's Name: _________________________________________
Organization: _________________________________________
Email: _________________________________________
Entry Title: _________________________________________
Category: _________________________________________
Length of video (in minutes): _________________________________________
Description of the best sequence to highlight on July 8th Hometown Awards night (i.e. 12:32 man falls off horse and lands in haystack):
Phone: _________________________________________
Address: _________________________________________
Comments: _________________________________________