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MyMementoVid. artist application form

Please read all instructions carefully.
This online submission form is provided for your convenience.

required info in red.

Instructions and conditions of participation in the project:
  1. Video-Art work duration will be one minute only (1 min).
  2. Please mail only QUICK TIME ANIMATION FILE - BURNED ON DVD (other formats will not be accepted), to:
    P.O.Box 822 BNEY-BRAK, ISRAEL.
  3. Please email us one 8 x 5 inch (21x15 Cm) size stills photo describing the video work,
    as a jpg file of 220 DPI resolution;
  4. Submit for free NOW.



CONTACT INFORMATION
First name:
Last name:
Age:
Gender:
Male Female
Status:
Student Artist
Group name (if applicable):
Academy / University
(if Student):
Department / Faculty
(if Student):
Street Address (Home)
City:
State:
Country:
Phone 1:
Phone 2:
Fax:
E-Mail:
Website:


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