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LENS ON TALENT:
Johnson & Johnson Presents A Filmmakers Challenge
 
SHORT FILM COMPETITION ENTRY FORMFILM SECTIONShort Film Competition*
(maximum running time 20 minutes) Deadline: November30, 2009, entry must be postmarked by November 30, 2009 and received byDecember 7, 2009
FILM
Title: ________________________________________________________________  ________________________________________________________________ Year of Production: ___________ Running Time: ________________________ Genre:Action Comedy Drama Romance OtherOriginal Film Format:35mm 16mm digital Betacam (NTSC) Beta SP Mini-DVScreening history in the U.S. and abroad (including festivals and any prizes/awardsreceived): ________________________________________________________________  ________________________________________________________________  ________________________________________________________________  ________________________________________________________________ 
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PRIMARY CONTACT PERSON
Name: _________________________________________________________ Position in Relation to Film:_________________________________________ Address:________________________________________________________ City: ____________________________State: _____ Zip: ________________ Day Phone: __________ Eve. Phone: ___________ Cell/Pager: ___________ Fax: __________ E-mail: __________________________________________ 
FILM CREDITS
Director:_________________________________________________________ Writer: __________________________________________________________ Producer: ________________________________________________________ Executive Producer: ________________________________________________ Camera: _________________________________________________________ Editor: ___________________________________________________________ Principal Cast (lead actors/actresses only): ________________________________________________________________  ________________________________________________________________  ________________________________________________________________  ________________________________________________________________  ________________________________________________________________ Print Source (if applicable): __________________________________________  ________________________________________________________________ 
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