Omni Media Distribution, Inc.
Film Submission Form

(Printable Form right click here and click print)
Here for Word.doc

All genres and running times will all be considered. We accept any completed programs that have all clearances.

To submit a project, please include:

1.      This completed Entry Form. Please provide all information.

2.      DVD copy of your film for pre-screening. NTSC or universal format. NO PAL. NO SECAM.

3.      Short Bio & Resume of the director/producer.

4.      Press materials.

5.      Title

6.      Short Description up to 240 characters maximum in length.

7.      Detailed Description up to 3000 characters in length.

8.      Format you can deliver on.

9.      Genre

10. Total Running Time

11. Awards

12. Reviews

13. Film Festivals

14. Actors

15. Writer

16. Director

17. Producer

18. Projects over 30 minutes, if accepted, will require artwork on a CD.

When was the project copyrighted?

Name of copyright holder?

Your Name: __________________________________________________

Address: _____________________________________________________

Relation to production: ____________________________________________

Phone: _________________ Fax: ________________

VERY IMPORTANT E-mail:___________________

Mobile phone: ______________________

Production Company: __________________________________________________

Has this work been distributed/broadcast on television/screened in a theatre/shown on the
Internet?

If so, where? ________________ Who licensed it? _______________When? _____________________

Were you paid? _______If yes, what were you paid? _____________________________

Date film was completed: ________________

What did you shoot on? ___________________

Formats available: PLEASE CIRCLE EACH ONE:

Film:    16mm             35mm

Video: 1/2" (VHS) NTSC 1/2" (VHS) PAL

DigiBeta, BETA SP, DVC Pro, Mini DV,  Specify other ______________

I confirm that I have the legal right to use any music in this production in a sale of this project.

Signature: _____________________________________Date: ______________

 Your DVD and submission materials will not be returned to you. We keep it in our library.

Send everything to:

Omni Media Distribution, Inc.
Attn: Submissions
11301 W. Olympic Boulevard, Suite 679
West Los Angeles, California USA 90064

Thank you.