Anime Boston 2008: Events: Hentai Music Video Exhibition Entry Form

Anime Boston 2008
Hentai Music Video (HMV) Exhibition Form

Please type or print clearly.
Assume we can't read your handwriting.
For best results submit this form as a digital file along with your AMV Entry.

Real Name(s) of Entrant(s): ______________________________________

_____________________________________________________________________

Mailing Address: ____________________________________________________

_____________________________________________________________________

City: ______________________________ State/Province: ________________

Country: ____________________ Zip/Postal Code: ______________________

Evening (or Weekend) Phone Number: (_____) _____ - _______

Contact E-mail Address: _____________________________________________

_____________________________________________________________________

Web Page (optional): http:// ________________________________________

VIDEO INFORMATION:

Video #1

Title of Video: _____________________________________________________

Song Title: _________________________________________________________

Artist(s): __________________________________________________________

Video Source(s) (as many titles as fit here): _______________________

_____________________________________________________________________

Your Name(s) to Appear in Credits (if not your real names):

_____________________________________________________________________

Date Video Completed (exact or approximate): ______ / ______ / _____

SIGNATURE(S):

I/We hereby certify that we have read and will abide by the rules of this exhibition.

Signature: ______________________________________ Date: _____________

If you will not be attending the convention and would like a friend to act as a proxy and accept any award(s) you may win, please provide that person's name here. Your award(s) will not be handed over to anyone other than the people listed above or the proxy listed below.

Full (Real) Name of Authorized Proxy: _______________________________

Please mail submissions so they are received by March 1^st, 2008 to:

Adam Ferraro
Anime Boston Hentai Exhibition
274 Plantation Street
Worcester, MA 01604
USA