Instructions for this 2008/2009 entry form
After printing this page, check one category below only.
To enter the same entry in two or more categories
(such as a movie entered in "Motion Pictures" and "Video"),
two entry forms and two entry fees are required.

Category
_____International TV _____Motion Picture _____Video / Dvd _____Print
_____National TV _____Music _____Art / Photography _____Internet
_____Local TV _____Radio _____Stage _____Other

Organization Entering
Person submitting entry____________________________________
Organization name________________________________________
Street (no box#)__________________________________________
City, State, Zip___________________________________________
Phone__________________________________________________
Fax____________________________________________________
E-mail__________________________________________________
Internet: WWW.___________________________________

Entry Information
Title of Production or Art Piece__________________________________
Date aired or published______________Year of entry___________
Location aired____________________________________
Total time of entry______________________
Produced by____________________________________
If your entry wins, your award will be sent to the person who submitted
this entry form. Entry fees of $ 165.00 should be made out to
Excellence in Media / Angel Awards.

Synopsis of Entry
A brief synopsis of entry is required below or attach on a separate sheet.
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________

Sign here________________________________Date___________

Excellence in Media/Angel Awards, 1775 E. Palm Canyon Dr.- # H214,
Palm Springs, CA 92264

Thank you for your entry.
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