Matchmaker, Producers Forum - Online Submission Form - World Congress of Science Producers

Matchmaker: Producers Forum
Official Submission Form

Important: To be eligible, your completed submission must be received in our office by October 27, 2003.

Project Working Title:

Submitted By:

Production Company (Company Name):

Address:
Town / City:
State / Province:
Postal Code:
Country:
Phone Number:
Mobile Phone:
Fax Number:
E-mail Address:

Author's Name:
Author's Title:
Director's Name:
Director's Title:
Scientist's Name:
Scientist's Title:

Please supply a brief track record of producer and other principals. (List any relevant personal or corporate credits, awards or other relevant information)
300 Words Maximum

Have you co-produced before with a foreign country?	Yes No
If yes, please name title of program, format, producer, broadcaster, country:

Project format and Length: (e.g. series, documentary, feature film, etc. / half hour ... )

Target Market:

Do you have interest or commitment from a broadcaster in your home country?	Yes No
If yes, please add copy of letter of interest or first page of contract:

Do you have other financial support from either interested or confirmed parties?	Yes No
If yes, please describe all support and show approximate value in US dollars:

Project Synopsis: (please include production schedule)
900 Words Maximum

Do you have a clip of this project to present?

Yes No