entry form
| Contact | |
| Company | |
| Address | |
| City/State/Zip | |
| Phone # | Fax # |
| Total number of entries | x $75.00 = $ |
| # | CAT# | CLIENT | TITLE OF ENTRY | JUDGE'S USE |
|---|---|---|---|---|
| 1 | ||||
| 2 | ||||
| 3 | ||||
| 4 |
CheckVisaMCDiscoverAmerican Express
Government entrants may call for other payment options.
| Card # | Exp. Date |
| CCV Code | (Last 3 digits on back of card, Visa and MC Only.) |
| Name on Card | |
| Signature | ____________________________________________ |
| Cardholder Zip Code | |
| Email Address for Receipt |
send payment, entry(ies)
and form(s) to:
Judging Center
The Videographer Awards
2320 Superior Dr., Ste A
Arlington, TX 76013
and form(s) to:
Judging Center
The Videographer Awards
2320 Superior Dr., Ste A
Arlington, TX 76013