2010 Print Traffic Form

Please ship all prints to:
Attn: Rose Pergament
DisOrient Film Festival
1358 Oak St. #3
Eugene, OR 97401


PERSONAL INFORMATION



Full Name (*)

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Affiliation to Film (*)

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If you marked "Other", please specify

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Mailing Address (*)

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City (*)

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State (*)

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Zip Code (*)

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Country

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Phone (include area code) (*)

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Email (*)

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FILM INFORMATION



Title of Film (*)

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Film Website Address

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Please provide a URL to the film trailer (if available)

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Name of Director (*)

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Total Running Time (in minutes) (*)

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Country (*)

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Year created (*)

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Promotional photo from your film to use in our program book

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Description of Your Film (*)

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Exhibition Screening Format
(the format of your finished product sent to the festival for public exhibition) (*)

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If you marked "Other", please specify

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Alternate Format

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Exhibition Screen Size (pixels) (*)

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Aspect Ratio (*)

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Exhibition Frame Rate (*)

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Sound Format (*)

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Special Exhibition Instructions/Notes

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SHIPPING INFORMATION



SHIP FROM: (*)

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Expected Date of Arrival to DisOrient Film Festival

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If print is arriving from another festival, please indicate the following:

Name of Festival

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Name/Contact

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Phone (include area code)

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Email

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SHIP TO: (*)

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Expected Date of Arrival (if necessary)

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Please complete the information below if your film/video print will need to be shipped to an address other than the original address (personal address) after the DisOrient Film Festival

Name of Festival

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Name/Contact

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Address

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City

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State

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Zip Code

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Country

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Phone (include area code)

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Email

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Please note that DisOrient Film Festival will pay for shipping of your print one way after the festival, but cannot provide shipping to the festival. For questions, please contact Rose Pergament at: rose@disorientfilm.org

Please ensure that all your information is complete and correct before submitting.

To continue, please type the letters you see below then click "Submit Now!"
To continue, please type the letters you see below then click

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