2002 International Surrealist Film Festival
                  Official Submission Form
               ------------------------------
english language title ________________________________________
original language title _______________________________________
country(ies) of production ____________________________________
original language(s) __________________________________________
running time __________________________________________________
date completed ________________________________________________
original format _______________________________________________
aspect ratio:
	_ 1:33  
	_ 1:66  
	_ 1:85  
	_ 2:35 (scope)
optical sound format:
	_ mono 
	_ Dolby A   
	_ Dolby SR 
	_ Dolby Digital 
	_ other _______________________________________________
submission fee:
	_ $35
	_ $30 + uncut photobooth picture

method of payment:
	_ check
	_ money order

principal contact information:
	name __________________________________________________
	position with film or music video _____________________
	address _______________________________________________
	city ____________________  state ____  zip ____________
	day phone _________________  eve phone ________________
	fax ________________  e-mail __________________________
director:
        name __________________________________________________
        address _______________________________________________
        city ____________________  state ____  zip ____________
        day phone _________________  eve phone ________________
        fax ________________  e-mail __________________________
writer:
        name __________________________________________________
        address _______________________________________________
        city ____________________  state ____  zip ____________
        day phone _________________  eve phone ________________
        fax ________________  e-mail __________________________
producer:
        name __________________________________________________
        address _______________________________________________
        city ____________________  state ____  zip ____________
        day phone _________________  eve phone ________________
        fax ________________  e-mail __________________________
additional credits:
	camera ________________________________________________
	editor ________________________________________________
	principal cast ________________________________________
	_______________________________________________________
	artist (music video only) _____________________________
	label (music video only) ______________________________

screening history:
	screenings in US and abroad (including festivals) _____
	_______________________________________________________
	_______________________________________________________
	television presentations (outside of US) ______________
	_______________________________________________________
	_______________________________________________________
	prizes or awards ______________________________________
	_______________________________________________________
representation (if applicable):
	world sales representative ____________________________
	telephone ___________________  fax ____________________
	email _________________________________________________

	U.S. sales representative _____________________________
        telephone ___________________  fax ____________________
        email _________________________________________________

How did you hear about the International Surrealist Film Festival?
	_______________________________________________________
	_______________________________________________________

release:
I, the undersigned, acknowledge and agree as follows:
_ I have read, understood and complied with all eligibility requirements.
_ To the best of my knowledge, all of the statements in this document
  are true.
_ This film is not subject to litigation and is not threatened by any
  litigations.
_ I hold the International Surrealist Film Festival harmless from
  damage to or loss of the print en route to the Festival.
_ I am duly authorized to submit this film to the Festival.

signature:					date: