THE GRIERSON AWARDS



ENTRY FORMPlease ensure that you complete all sections fully. Complete a separate form for each entry. CONTACT DETAILSName FORMTEXT ????? FORMTEXT ?????Job Title/Dept FORMTEXT ?????Organisation FORMTEXT ?????Address FORMTEXT ?????City FORMTEXT ?????Postcode FORMTEXT ?????Country FORMTEXT ?????E-mail FORMTEXT ?????Telephone FORMTEXT ?????CATEGORY Please tick one onlyTop of Form FORMCHECKBOX Best Documentary on a Contemporary Issue FORMCHECKBOX Best Documentary on the Arts FORMCHECKBOX Best Historical Documentary FORMCHECKBOX Best Science Documentary FORMCHECKBOX Most Entertaining Documentary FORMCHECKBOX Best Drama Documentary FORMCHECKBOX PRIVATE "<INPUT TYPE=\"CHECKBOX\">" MACROBUTTON HTMLDirect Best Documentary Series FORMCHECKBOX Best Cinema Documentary PRIVATE "<INPUT TYPE=\"CHECKBOX\">" MACROBUTTON HTMLDirect PRIVATE "<INPUT TYPE=\"CHECKBOX\" NAME=\"check\">" MACROBUTTON HTMLDirect FORMCHECKBOX Best Newcomer Bottom of FormDETAILS OF FILM Title of Film/Entry FORMTEXT ?????Series or Strand (if applicable) FORMTEXT ?????Director (it will be assumed the director is the prime author of the documentary unless otherwise stated) FORMTEXT ?????Producer FORMTEXT ?????Executive/Series Producer FORMTEXT ?????Writer FORMTEXT ?????Production Company FORMTEXT ?????Commissioning Editor/Company FORMTEXT ?????Duration/Running time FORMTEXT ?????Date of First UK Screening FORMTEXT ?????Broadcast Channel or Screening Venue FORMTEXT ?????Short synopsis/billing (75 words max) (start) FORMTEXT type over here FORMTEXT ?????Full synopsis (500 words max)(start) FORMTEXT type over here FORMTEXT ????? FORMTEXT ?????For entries into the Best Documentary Series category please provide a brief synopsis of all the episodes in the series. FORMTEXT ?????(start) FORMTEXT type over herePAYMENT?195 + VAT @ 17.5% per entry (?229.12 inclusive), ?50 + VAT @ 17.5% per entry for the Newcomer Award (?58.75 inclusive)Please tick as appropriate FORMCHECKBOX Please charge my Visa / MasterCard / Switch / Maestro / Solo / Electron the sum of ? FORMTEXT ……Card Number FORMTEXT ?????Issue No. FORMTEXT --Issue date FORMTEXT --/--Expiry date FORMTEXT --/--Security No. FORMTEXT ---Cardholder’s name FORMTEXT ?????Cardholder’s registered address FORMTEXT ?????PostcodeCountry FORMTEXT ?????SignatureDate FORMTEXT ????? FORMCHECKBOX I enclose a cheque made payable to The Grierson Trust for ? FORMTEXT ……… FORMCHECKBOX I have arranged a bank transfer for ? FORMTEXT ………… pounds sterling toAccount:The Grierson Trust Sort Code:40-40-32Account N?:71494872Bank:HSBC Bank, 69 High Street, Sevenoaks, TN13 1LB, UKSwift/BIC: MIDLGB22IBAN: GB83MIDL40403271494872 FORMCHECKBOX Please send us a VAT invoice. Our purchase order number is FORMTEXT ………..Entries will not be accepted until payment has been received. The deadline for receipt of payments is 1 June 2010. FORMCHECKBOX I have read and accept the terms and conditions in this entry formSignatureDate FORMTEXT ?????Email your completed entry form to awards@Send your entry fee and five viewing copies on DVD to:Grierson 201028 Sallows RoadPeterboroughPE1 4EUUKTel: +44 (0)1733 891878E-mail: awards@Entries must be received by 18:00 hours on Tuesday, 1 June 2010CHECKLISTYour entry should be accompanied by the following:All Entriesfive copies of the entry on DVD (PAL single sided (region 0 or region 2 – for mass-pressed DVD media) or DVD - R (for burned DVD media), clearly labeled with the programme and category entered for all entries. In exceptional circumstances, PAL VHS may be entered, but only with the prior agreement of the awards office if the film is not in English, a translation or subtitled version must be suppliedpaymentSeries award onlytwo episodes from the series must be provided on DVDshort synopses of all the episodes in the seriesNewcomer award onlyCV or résumé including all previous production creditsthe names and contact details of two referees, from within the industry, who are prepared to confirm your newcomer status ................
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