FILM / DVD SUBMISSION FORM

To contact us please complete this submissions form.

Fields marked with an asterisk (*) are mandatory.

* YOUR NAME:
POSITION/TITLE:
ADDRESS:
STATE/PROVINCE:
* COUNTRY:
* PHONE:
* E-MAIL:
WEB SITE:

* SERVICE(S) REQUIRED:

* YOUR APPROXIMATE BUDGET:
* THE MINIMUM YOU CAN AFFORD:
AVAILABLE FINANCING OR GRANT:

FILM AND CONTACT INFORMATION
Original Title:
English Title:
Country of Production:
Year of Production:
Running Time:
FILM TYPE:
FINAL PROJECTION FORMAT:
ASPECT RATIO FILM PRINT:
ASPECT RATIO VIDEO:
Please Specify:
SOUND:

PRINT SOURCE INFORMATION
Primary Film Contact Name:
Relationship/Position with Film:
Company Name:
Mailing Address::
City:
State or Province:
ZIP or Postal Code:
Country:

PRODUCTION CREDITS
Director:
Phone/Email:
Producer:
Phone/Email:

PUBLICITY INFORMATION
World Premiere:
U.S. Premiere:
U.S. West Coast Premiere:
Awards, Prizes or Honorable Mentions:
HOW DID YOU HEAR ABOUT US?:
ADDITIONAL COMMENTS:

REVIEW, EMAIL SUBMISSION, AND HANDLING FEE: $75.00
For submissions from Canada 13% HST is applied.
FEES / PAYMENT INFORMATION:
* PAYMENT METHODS:

For orders above $75.00, CLICK HERE TO DOWNLOAD THE PAMENT METHOD FORM.
For completion of your order either by Credit Card or Paypal, please additionally fill out the form and either fax or scan it and email to: info@whiteeaglerecords.ca

* CARDHOLDER'S NAME:
* CREDIT CARD NUMBER:
EXPIRY DATE:
TOTAL AMOUNT:

Note: All payments are final. No refunds will be issued.

White Eagle Music Promotions
is a division of White Eagle Records Limited