AMV Form

Contact Information
First name:

Your given name or common name

Required
Last name:

Your family name or surname

Required
Email:

A valid email address so we can contact you

Required
Phone:

Your preferred phone number

Optional
Date of Birth:

Eg 1980-10-24

Optional
Gender:
Optional
Address:
Optional
City:
Optional
Province:

(Or state)

Required
Postcode:

(Or zipcode)

Optional
Country:
Required


Note: If you reside outside of Canada/US then please use the Addtional Information box at the end of the form to add any phone numbers that won't fit into the preformatted boxes above. Thanks!
Entrant Information
Name/Studio

(to appear in credits)

Required
Video Title:

(to appear in credits)

Required
Music/Song Title:

(to appear in credits)

Required
Music/Song Artist:

(to appear in credits)

Required
Duration:

(min/sec)

Required minutes seconds
Type:

Type of AMV

Required


Source Footage:
(if more than 3, enter various)
Required

Elements:

(select your top 4 only in order of preference)




Delivery URL:
Link an upload of your video on a file sharing site, such as Google Drive or Dropbox. PLEASE DO NOT SEND YOUTUBE LINKS.

Please provide the address including http:// or https:// Required

Entry 2

Video Title:

(to appear in credits)

Required
Music/Song Title:

(to appear in credits)

Required
Music/Song Artist:

(to appear in credits)

Required
Duration:

(min/sec)

Required minutes seconds
Type:

Type of AMV

Required


Source Footage:
(if more than 3, enter various)
Required

Elements:

(select your top 4 only in order of preference)




Delivery URL:
Link an upload of your video on a file sharing site, such as Google Drive or Dropbox. PLEASE DO NOT SEND YOUTUBE LINKS.

Please provide the address including http:// or https:// Required





Additional Information:
If you have any other additional information, please provide it here:
Signature of Entrant
By signing you agree to abide by the contest rules and any event policies applicable to the contest.
In submitting this form, I hereby certify that all the above information is correct and the music video entries submitted is the creations/own work of the video creator(s) as named on this form.

Signature

Use finger or mouse to sign recognisably, use the whole area.
Clear


Printed:

Please type your name

Required


Date:

Date




Required We require this information in order to proceed.
Recommended While we do not require this information it would definitely assist us which could in turn help you.
Optional We do not require this information but we may find it helpful.