CENTRAL FLORIDA FILM FESTIVAL OFFICIAL ENTRY FORM www.CentralFloridaFilmFestival.com Please print out this form, fill in all the required fields, sign it and include it with TWO copies of your submission. Mail this form and YOUR PAYMENT to: Bob Cook, Director Central Florida Film Festival 5029 Ledgewood Way Orlando, FL  32821
		4th Annual September 3-6th, 2010
			** REQUIRED FIELDS **      ** ONE FORM PER ENTRY ** FILM INFORMATION* Film Title*  ________________________________________________________________ Date of Completion*  ________________________________________________________ Total Run Time*  ___________________________________________________________ Florida Connection (film and/or filmmaker)  _______________________________________ CATEGORY* (check one) Feature (more than 50 minutes and less than 120 minutes) Documentary (More than 15 minutes and less than 120 minutes) Short (More than 3 minutes and less than 30 minutes) Director(s) Name*  _________________________________________________________ Crew* (up to 5 names) 1. ________________________________________________________________________ 2. ________________________________________________________________________ 3. ________________________________________________________________________ 4. ________________________________________________________________________ 5. ________________________________________________________________________ Cast* (up to 5 names) 1. ________________________________________________________________________ 2. ________________________________________________________________________ 3. ________________________________________________________________________ 4. ________________________________________________________________________ 5. ________________________________________________________________________ Short Synopsis* (less than 200 words) __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Director’s Bio (less than 75 words) __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Director’s Filmography (up to 5 titles) 1. ________________________________________________________________________ 2. ________________________________________________________________________ 3. ________________________________________________________________________ 4. ________________________________________________________________________ 5. ________________________________________________________________________ CONTACT INFORMATION Film Web Site  _______________________________________________________________ Contact Person*  _____________________________________________________________ Title (Director, etc.)*  __________________________________________________________ Company Name  ______________________________________________________________ Address*  ___________________________________________________________________ City*  ________________________   State* ______________   Zip* _____________________ Phone #*  ____________________________    Alt Phone #  ___________________________ Fax #  _______________________________ Main E-mail Address*  ________________________________________ TECHNICAL INFORMATION Shooting Format (check one) 35mm 16mm S16mm S8mm Beta Digital Screening Format*(check one) DVD VHS Color      B&W*    (CIRCLE ONE) Submitter Name*  _____________________________________________________________ Date Submitted*  _____________________________________________________________ How did you hear about the Central Florida Film Festival? ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ** By submitting this form the submitter states that she or he... ** Is authorized to submit the film as the Maker or an Agent of the Maker Has accepted the rules and regulations of The Central Florida Film Festival Agrees that the TWO submitted DVD's will not be returned without a self-addressed stamped envelope included by submitter. Allows The Central Florida Film Festival the right to promote, through all media types and outlets, the film submitted and to allow the film to be screened at The Central Florida Film Festival events. I have read and filled out this form (as required) and I understand The Central Florida Film Festival is not responsible for damages or losses resulting from the festival review, exhibition or any other possible or unforeseen circumstance. _________________________________________________________                     _________________               Submitter's Signature                                                                                                         Date