Entry fee must accompany entry; multiple entries
may be included in one payment. Copy this form and
submit a separate form for each entry, staple them
together, then total the entry fees on the top form and
make one payment to cover them all. Make checks pay-
able to FMPTA.
Send to: FMPTA Crystal Reel Awards, P.O.B. 540053,
Orlando, FL 32854
. { Questions call 407-221-7656 }
I hereby affirm that my organization or I own or have
clearance to all materials, sound and visual images con-
tained in this entry. Further, my organization and I will
hold the FMPTA, including all of its chapters and members, harmless from any and all suits and/or liabilities
arising from any alleged or actual violations of copyright or from any loss of materials submitted to the Crystal
Reel Awards. I understand that portions of entries which receive awards may be shown at the awards ceremony,
and be included in any broadcast or video presentation of the awards.
Authorized Signature: ________________________________________ Date: ______________________
_
2006 CRYSTAL REEL AWARDS ENTRY FORM
Name to Appear on Award Title of Submission Class Type of Production Category
Entry Code*
Example: Maybelline Rogaine I Remember Oblivion Professional Feature - $1M and under Makeup/Hair
P A3 514
Contact Information
(for person, school or company
submitting the entry):
Name______________________________________
Address ___________________________________
City, State, Zip ______________________________
Phone: H:___-___-____ W:___-___-____ ex:_____
E-mail:________________@__________
*
Mark each tape or disk with your name and entry code.
FMPTA Member
$25 1st entry, $20 ea. Additional entry/cat =_______
Non-Member
$40 1st entry, $35 ea. Additional entry/cat = _______
(You can join FMPTA online at www.fmpta.org)
Students
$20 1st entry, $15 each Additional entry/cat = ____
Students need to send a copy of their student ID with each entry.
Entry Fees:
Payment: Check Visa MC
Card No: __________________________________
Name: __________________________ Exp: _____
Signature: _________________________________
NOTE:
Gala Tickets can be purchased on a separate form
Go to www.fmpta.org and download form for tickets & info.
For Offical use only: (
Check here for student [ ] then check below)
Entry No: __________ Date Received: ________
Member
Non-Member
Entry Fee: __________ Date Judged: _________
The Crystal Reel Awards honor outstand-
ing achievement in the Motion Picture,
Television, Audio Recording and Digital
Media Industries in the State of Florida.
The competition is open to FMPTA mem-
bers and others who worked on projects
in the State of Florida between January
1, 2005 and Dec. 31, 2005 Awards will
be presented at the beautiful and historic
Plaza
Theater off Colonial Drive,
Downtown Orlando
.
THE
FMPTA
2006
CRYSTAL
REEL
AWARDS
Deadlines Scripts: August 31st, 2006. Other entries: September 15th, 2006
See back for more information
.
CALL
FOR
ENTRIES
Deadlines Scripts: Aug 31, 2006. Other entries: Sep 15, 2006
The Crystal Reel Awards honor outstand-
ing achievement in the Motion Picture,
Television, Audio Recording and Digital
Media Industries in the State of Florida.
The competition is open to FMPTA
members and others who worked on
projects in the State of Florida between
January 1, 2005 and December 31, 2005.
Awards will be presented at the beautiful
and historic Plaza Theater off Colonial
Drive in downtown Orlando.
Name of Contact______________________________________
School/Company _____________________________________
Address ____________________________________________
City, State, Zip _______________________________________
Phone ___________________________ ext. ______________
E-mail _____________________________________________
* Mark each tape or disk with your name and entry code.
Entry Fees:
FMPTA Member
$25 first entry
$20 ea. additional entry/category
Non-Member
$40 first entry
$35 ea. additional entry/category
(You can join FMPTA online at www.fmpta.org)
Student
$20 first entry
$15 ea. additional entry/category
(Must send a copy of student ID with each entry)
Payment:
Check Visa MC
Card No: ___________________________________________
Name: _________________________________ Exp: ______
Signature: __________________________________________
NOTE: Gala tickets are purchased on a separate form. Go
to www.fmpta.org for info and to download the form.
$25.00 +
$20.00 x ___ = $ ______
$40.00 +
$35.00 x ___ = $ _______
$20.00 +
$15.00 x ___ = $ _______
Send to: FMPTA Crystal Reel Awards, PO Box 540053
Orlando, FL 32854 (Questions? Call 407-221-7656)
Contact Information
(for person, school or company submitting the entry)
