Media Communications Association-International

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MCA-I
Media Communications
Association-International
Address & Phones
 
c/o Madison MCA-I Chapter
PO Box 5135
Madison WI 53705-013 
 
(888) 899-MCAI (6224)
Fax: (888) 862-8150

Executive Director
Connie Terwilliger

 

43rd Annual MCA-I Media Festival Entry Form

 

Celebrating the best in our industry

Instructions:

  • Read the Media Festival Entry Rules before filling out this online form. It details all the Categories.
  • Complete the entire Entry Form.
  • Make only one media entry per Entry Form.
  • A program can be judged under more than one category (e.g.m, documentaries and writing). Each category requires a separate entry form and entry fee.
  • Entry forms must be submitted by midnight (Central time) Wednesday, Novermber 30, 2011.
  • Select one of the Professional Categories OR the Student program category. Student entries will be judged with other student entries. (Students may enter as Professionals, but must pay the Professional fee.)
  • Payment using the Online Form is by Credit Card only. 
  • You must print a copy of this form and send it along with your DVD entry (one per entry). This is to be sure that we match up your mailed DVD entry with the Online Form (To save you time - please PRINT THIS PAGE - prior to hitting the Submit button.
  • Packages with DVDs must be postmarked no later than December 9, 2011.
  • Questions? Please contact us at mcaimediafestival@gmail.com  

MCA-I is a 501 (c) 3 non-profit association.

Entrant's Information

First Name*
Last Name*
Email*

Program Information

Program Length (if linear)
If your program is 20 minutes or longer, you may select a five-minute continuous segment that you feel is most representative of your work.
Entry Categories*
Select only one category per entry.
Program Title*
Entry Medium*
**Web Address (URL)
Objectives and Purpose*
What should audience know, do and/or feel after viewing program? Be clear and concise (i.e. after viewing this program the viewer will be able to a., b., c.).
Audience Description*
Who are the viewers?
Presentation Venue*
What presentation enviroment will the audience experience?
Availability and Accessibility*
*Is the presentation one time, repeated (how often), or continuous?

Entry Fees and Payment

Entry Fee*
Entry Fees:*
Fees are as follows. Please select the appropriate dollar amount from the drop down list below. Entry fees must be paid in U.S. funds. Each Entry is on a separate form.

Member ($80 per entry)
Non-member ($110 per entry)
Student Member ($25 per entry)
Student Non-member ($40 per entry)

Payment Method*
Name and address information must match what is on the Credit Card being used in order to validate the transaction. (To pay by check, use this PDF form.)

Authorization/Warranty

Entering your name in the box below indicates that you have read and agree to the following statement:

Authority Name (constitutes a signature)*
"On behalf of myself and my organization, I (a) authorize MCA-I to view, publicly display and loan our program, unless otherwise indicated below; (b) warrant that I/we own or hold sufficient rights to the program and its contents to permit MCA-I to lawfully use the program in the foregoing manner; and (c) will indemnify, defend and hold MCA-I, its officers, employees, members, directors and agents harmless from any and all claims, demands, liabilities and expenses (including without limitation attorneys’ fees) arising out of MCA-I use of program."
Authorization Date*
Authority Title*
Authority Company*
Authority Address*
Authority Address 2
Authority City*
Authority State*
Authority Postal Code*
Authority Country*
Authority Phone*
Authority Fax
Authority E-mail*
After filling in this field - if you are sending a DVD - please remember to PRINT THIS PAGE before clicking SUBMIT as you need to submit a copy with your DVD.

For security reasons,

type in the code below:

Play Sound

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