Tuning Fork Film Workshop

14th 21st June 2013

Registration Form
Full Name of Participant: Age: Phone: Full Postal Address: Email ID: College/Institution/Organisation/Company: Which workshop would you like to register for, (type YES for both if you want to register for both) Workshop 1: 14th -16th June (FILM APPRECIATION): _______ Workshop 2: 17th 21st June (FILM MAKING): _______ A bit about yourself: Sex:

How did you find out about this workshop (please be specific): For FILMMAKING WORKSHOP participants, Please mention if you are getting a handycam/video camera along or a laptop (Mac or Windows). We would encourage participants who have a video camera/laptop, to please bring it along, however it is NOT MANDATORY to carry the same:

PAYMENT DETAILS
Registration Fee: Rs.500* Mode of Payment: Cheque / Demand Draft/Electronic Remittance**:
(The Cheque/Draft must be payable at New Delhi to "Tuning Fork Films")

Details of Cheque / Demand Draft/ Electronic Remittance:

(Name and Branch of the Bank, & Cheque or Demand Draft Number)

Signature:

Date:

*Please fill in this registration form and send it via email or post, along with the payment of Rs.500 payable to Tuning Fork Films. You can make the payment by bank transfer, cheque drop-off or post/courier. * Bank Details: Tuning Fork Films, Account Number: 3978005500000216, Punjab National Bank, Defence Colony, New Delhi. * Postal Address: Ankit Pogula, D-59, Defence Colony, New Delhi 110024 * You can email the registration form back to us on tuningforkfilms@gmail.com * This registration amount is a non-refundable advance. It will be deducted from the total fee of the workshop. You can also pay the entire fee in advance now itself.