Guerrilla Filmmaker's Submission Form

Contact Info
Video Title
Primary Contact Person
Relation to Film
Production Company
Email Address
Mailing Address
Address
City
State
Zip Code
Country
How did you hear about us?
T-Shirt Size Large X-Large Girly Small Girly Med

Pain For Pleasure Program

I would like to be considered for the "Pain For Pleasure Program " where patients in hospitals can watch my shorts and bring me more exposure. yes no

Video Info

Student film? yes no
School Name
Does the film have all clearances and rights for commercial distribution?  yes no
Does the film have a registered copyright? yes no
Running Time (minutes) 
Date Completed
VIDEO CATEGORY
Possible New Category Name Suggestion

Equipment Used

Camera  Editing
Lighting  Sound 
Dollies 

Talent Info

Producer  Post
Director  Music
Writer  Cast
Camera  Cast
Editor  Cast
Directors Notes
(What I've learned making this magnificent piece of work. 200 words or less)