To print the Entry Form, click on the "PRINTER FRIENDLY" icon at the bottom of the page. If you do not have access to a printer or have trouble printing the entry form, you can request an entry form to be mailed to you by emailing us at info@indieshortfilms.net

INDIE SHORT FILM COMPETITION 2012 Short Script Entry Form MAIL ALL ENTRIES TO: Indie Short Film Competition P.O. BOX 1185 Fort Lauderdale, FL 33302 U.S.A. EACH ENTRY MUST INCLUDE:      1.)  A completed Entry Form with an original signature.      2.)  Short Script entry up to 30 pages in length in PDF, Microsoft Word or Hardcopy format.            * All Scripts must be in English and in standard 12 point font.            * Hardcopies should be on 3-hole punched paper and bound with brads (other forms of            binding are accepted but not preferred).      3.)  Entry Fee (US Currency Only) ENTRY DEADLINE: Entries must be postmarked no later than August 31, 2012! PLEASE PRINT CLEARLY NAME: ________________________________________________________________________________ ADDRESS: ____________________________________________________________________________ CITY: _______________________________________  STATE / PROVIDENCE: ____________________ ZIP / POSTAL CODE: __________________________ COUNTRY: _______________________________ PHONE NUMBER: _____________________________ EMAIL: __________________________________ Title of Script: (In English if Foreign entry) ________________________________________________________ Number of pages: ________________________________________________________________________ Check ONE genre only o Comedy   o Drama   o Horror / Thriller   o Action / Adventure   o Family / Children o Other (Please specify genre) ____________________________________________________________ Please write a short synopsis of your story. (Please print clearly - attach to entry form if more room is needed.)   _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ Co-Writer(s): ____________________________________________________________________________ How did you hear about the Indie Short Film Competition: ________________________________________ ENTRY FEES - You Must Check One Box Early Entry Deadline - Entries postmarked by May 31, 2012 or earlier! o $40.00 Regular Entry Deadline - Entries postmarked by July 31, 2012 or earlier! o $45.00 Final Entry Deadline - Entries postmarked by August 31, 2012 or earlier! o $50.00 Select a method of payment: o CHECK / MONEY ORDER   o VISA   o MASTERCARD Make your check or money order payable to: Indie Short Film Competition Payment from countries outside the U.S.A. must be in the form of a U.S. Bank Check, money order, cash, or credit card. IF PAYING BY CREDIT CARD Card number: ____________________________________________ Expiration Date: _________________ Name on card: __________________________________________________________________________ Complete Billing Address: _________________________________________________________________ Cardholder Signature: ____________________________________________________________________ I certify that I have read, understood and accept the Indie Short Film Competition rules & regulations as they appear on the competition website. Entrant's Signature: _______________________________________________ Date: _________________ If the entrant is under 18 years old, the signature of the parent or guardian is required.