Awe Goblin
application to VideoFACT/PromoFACT/BravoFACT - Please
get your package to us at least one week prior to the
deadline. Fax back a copy of this page or request a copy via
email.
if
over 4:00, please indicate radio edit running time)
Genre:
Rock
� Pop � A/C � Rap/Hip-Hop � R&B/Soul � Dance
Instrumental:
Yes
or No
Composer:
Publisher:
Producer:
Distributor:
Song release date:
Album title:
Cancon?:
M A P L (circle
all that are Canadian)
Who owns the master recording:
Is the owner of the master a Canadian owned company? :
Yes or No
Contact
ARTIST
RECORD LABEL
MANAGEMENT
Company:
Name:
Address:
City/Prov:
Postal:
Phone:
Fax:
Email:
Web site:
Previous videos?
Song
Director
Date
VideoFACT?
Yes or No
Yes or No
Yes or No
Previous applications to VideoFACT?
Song
Director
Date
Applicant's agreement - We warrant that the information
submitted in this application is correct to the best of our
knowledge. We are a Canadian controlled company or Canadian
Citizen or landed immigrant. We hereby engage Awe Goblin
and Gina Below to make this application on our behalf.
Name & Signature:_____________________________________________________________
Video treatments will be emailed to you. The meeting to
decide the winners will take place one month after the deadline.
Results will be posted on our web site and emailed to you.
Thank you, and good luck!
Awe Goblin 978 Queen St W (The Show Gallery) Toronto
ON M6J 1H1 Ph: 416-538-7901 Fax: 416-352-6171
