MIDSOUTH REGIONAL                             FOR ACADEMY USE

OFFICIAL ENTRY FORM                           ENTRY # __________________

 

THE NATIONAL ACADEMY OF TELEVISION ARTS & SCIENCES

NASHVILLE/MIDSOUTH CHAPTER

EACH ENTRY MUST INCLUDE:

1. Broadcast/Cable entry recorded on DVD-R, or Advanced Media entry on CD-R

2. TWO completed copies of the official entry form (or photocopies) of both sides for EACH entry.

No attachments to entries, except Set Design.

3. Payment Form with check, purchase order or credit card, payable to NATAS NASHVILLE.

4. You must edit out commercial content leaving two to five seconds of black.

5. Send entries to: EMMY AWARDS, 161 Rains Avenue, Nashville, TN 37203 by August 17, 2007

 

CATEGORY NUMBER __33____ CATEGORY NAME ___SPECIAL EVENT LIVE___________

 

ENTRY TITLE _________DOWNTOWN PARADE_________ RUNNING TIME _____60:00____

 

PRODUCING COMPANY _______________________EVENTS ARE US____________________

 

ORIGINAL AIRDATE __7/4/06____ STATION AIRED  _______WXXX_________

 

PROGRAMS: Categories 1-42, Members $75 or Nonmembers $150

CRAFTS: Categories 43-61, Members $60 or Nonmembers $120

ADVANCED MEDIA: Categories 62-74, Members $75 or Nonmembers $150

 

PERSON(S) TO RECEIVE AWARD:

 

1^st ENTRANT _ _ _ _ _JOHN DOE _ _ __ _ _ TITLE ON THIS PROJECT _ _  EXEC PRODUCER

MEMBER __x___ NONMEMBER _____ ENTRY FEE $ ___75_____

 

2^nd ENTRANT _ _ _ _ _MARY DOE _ _ _ _ _ TITLE ON THIS PROJECT _ _ EXEC PRODUCER

MEMBER __x___ NONMEMBER _____ ENTRY FEE $ ____75_____

 

3^rd ENTRANT _ _ _ _ _ JANE DOE _ _ _ TITLE ON THIS PROJECT _ _ _ _HOST _ _ _ _ _ _

MEMBER _____ NONMEMBER __X___ ENTRY FEE $ ___150______

 

4^th ENTRANT _ _ _ _ _JIM DOE _ _ _ _ _ TITLE ON THIS PROJECT _ _ _ _DIRECTOR_ _ _ _  

MEMBER _X____ NONMEMBER _____ ENTRY FEE $ ____75_____

 

5^th ENTRANT _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _TITLE ON THIS PROJECT _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

MEMBER _____ NONMEMBER _____ ENTRY FEE $ _________

 

6^th ENTRANT _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ TITLE ON THIS PROJECT _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

MEMBER _____ NONMEMBER _____ ENTRY FEE $ _________

 

When a SINGLE payment covers MULTIPLE ENTRIES, a list of each category, name of entrant and individual entry fee MUST accompany the check.

MEMBERSHIP FEES MUST be submitted on a SEPARATE CHECK, including a list of new members.

 

PERSON SUBMITTING ENTRY ___________MARY DOE___________

COMPANY_______MAIN STREET PRODUCTIONS_________________

STREET ____1000 MAIN ST_______________________________________

CITY _____ANYTOWN_______ STATE ________NC______ ZIP _____00000

TELEPHONE (required)_111-555-1111_ E-MAIL (required)_____jane@mainstreet.org_

SIGNATURE _______Mary Doe_________________________________

Signature constitutes permission to telecast, webcast, videostream or screen all or portions of the entry as part of the Emmy® Awards Program and promotion.

SYNOPSIS: Optional, unless otherwise noted. One hundred word limit of objectives, or any information you deem advantageous for the Judging Committee. Please use reverse side.