MITIL 01 - VIDEOKIOSK REGISTRATION

Our Partners:

PROGRAMME MARKET (VIDEOKIOSK) & COMPETITION REGISTRATION FORM
alternative: complete downloadable registration PDF file:click here

Please, fill in and
send your tapes (VHS, DV or BETACAM ONLY) to:

MITIL VideoKiosk & Awards
Swissmedia Center, PO BOX 517
CH-1800 VEVEY/Switzerland

Entry fee: 50 euros/entry, for up to 5 entries/company
(for additional entries, ask for discouted prices)

Organization
For this programme, I am:
First name
Last name
Company Name
Address1
Address2
City
Zip code
State
Country
Phone
Fax
Email
Programme
Category
Programme (title)
Short Summary
Keywords MAXIMUM 10!
Production details
Own Prod./co-prod. (please give name)
Budget - US $ (cost per minute)
Original language
Length (minutes)
Date first broadcast
Production format
Entry tape standard	PAL SECAM NTSC
Available copyrights	TV Internet
MITIL Awards	I would like my entry to participate in the MITIL Awards competition (no extra charge): Yes No Read the MITIL AWARDS Rules & Regulations
Payment
Charge	Please charge my credit card with Euros: Entry fee: Euros 50 per entry. ( For more than 5 entries, ask info@mitil.org for discounted prices.)
Credit card	VISA Eurocard/Mastercard Amexco
Card Number
Expire Date (mm/yy)
Billing address if different from above
Notes, remarks