WILDWOOD FILM AND VIDEO FESTIVAL ENTRY FORM

This entry form must be completed for each work being submitted. Each entry must have one person or contact representing the work submitted. Entry form must accompany every individual film.

Film Title:
Producer:
Director:
Entrant name:
Address:
City:
State:
Zip:
Length:
Production company:
Date completed:
Phone:
Cell:
E-mail:

Wisconsin ties: (Check all that apply.)

Director
Writer
Producer
Current Wisconsin native
Former Wisconsin native
WI University/college
WI High school
Shooting location

Please describe in brief the Wisconsin ties: ________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please describe any other exhibition history, including festival names, dates, or awards:

________________________________________________________________________________________________________________________________________________________________________________________________________________________

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