ENTRY FORM FOR TELEVISION CATEGORIES
The deadline for
receipt of entries is Monday, January 3, 2000 by 12:00
Only ONE
entry will be accepted in each category.
A SEPARATE ENTRY FORM is required for
This
EACH
category entered.
entry form must be completely filled out to be valid.
Categories
□ One
episode of a regular series*
eligible the cinematographer must have
completed at least two episodes out ofthe entire
series created and aired in the calendar period.
*
noon.
To be
(check one box only):
□ One episode of a mini-series, movie-of-the-week or pilot
Title of Entry
Cinematographer
(Program within
Address
Title of Series
or
a
series
or
mini-series, movie-of-the-week
or pilot)
Miniseries
{ifapplicable)
Program First Broadcast
on
(Network, PBS Station
Phone- (
Agent
Cable Outlet)
Date of First Broadcast
)
or
or
Agency
Production
Company
Producer
Address
Company s Address
Phone: (
Phone: (
)
A Brief synopsis:
Entry
1. One
25 words or less. Please print clearly.
-
full program
TWO
(no exceptions):
2. One ^4-inch tape - 4 minute excerpt (NO CREDITS ON THIS
will not be valid if not accompanied by
34-inch tape
)
tapes
tape)
For Office Use Only
I have read and agree to
Signature
reverse
Date received
Entry #
Date
See
the rulesfor submission.
side for
rules.
□ Data entered