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Title of Film:                                                                                                              Date Completed:

 

Producers:                                                                                                                                                                          

 

Phone:                                                                                                                               Fax:

 

Address:                                                                                                         

 

City:

 

State/Country:                                                                                             ZIP:

 

E-mail address:                                                                         

 

Synopsis of Film (50 words or less):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


     I want to submit my film for N.I.F.E  for a Critique and Screening $50.

     I also want to submit my film for Analysis for an additional $200.*

     I also want to submit my film for Analysis & Referral for distribution, for an additional $450.*

 

Please print form, mail this form & DVD (dvd submissions only) along with your check to:

 

Kevin DiBacco

PO Box 343

New Gloucester, ME 04260

 

Checks payable to:  Kevin DiBacco

Email: kdibacco@mac.com

 

                                                                                                                                                                 

Signature of Applicant:                                                                                             Date:

 

*More information at www.dibaccofilms.com

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