Application Form
Sept. 15 & 16
Please put your film title and your name as you want them to appear in our program guide.
Film Title _______________________________________________________
Run Time__________ Has film been shown previously? __________________
If so, where? ________________________ When? _____________________
Name__________________________________________________________
Address________________________________________________________
City ______________________________ State ___________Zip __________
Phone (___)________________ Email _______________________________
________________________________________________________________________
Action/Adventure □ Animation □ Comedy □ Drama □ Dramedy □
Horror □ Fake TV Commercial □ Music Video □ Science-Fiction □
Western □ Other □
If Other is chosen, please explain ___________________________________________
Month/Year of Completion ___/___
Are you a: Film Student □ Amateur □ Ed Wood "Wanna-Be" □
Professional □
Mail application and entry fee to:
Pahrump Film Festival, Inc.
c/o Talk Radio of Pahrump, Inc
.P.O. Box 5303
Pahrump, NV 89041