Film Title    ____________________________________________________________________________

Running time    _________________________ Director ________________________________________

Contact name    ________________________________________________________________________

Address    ____________________________________________________________________________

City/State/Zip    ________________________________________________________________________

Phone (day)    _____________________________ Phone (evening) ______________________________

Email    __________________________________  Fax    ______________________________________

Date film completed    ___________________

Exhibition Format(s) Available (check all that apply):

      ____  35mm          _____   DigiBeta (NTSC)          ____  Beta SP       _____   DVD (NTSC)

Film type:    ___ narrative feature            ___short feature            ___ documentary            ___ short doc   

                                      ___ animation                 ___ children's                ___ experimental

Brief story description of film    ___________________________________________________________

_____________________________________________________________________________________

If selected, this film will be a:    ____ World Premiere         ____ North American Premiere 
                                              
                                                ____ US Premiere            ____ Delaware Premiere

Is this film the director's first feature length effort/directorial debut?  ____ Yes   ____ No

How did you hear about the Festival?  _____________________________________________________

Signature*  ______________________________________________________________
*Signature acknowledges agreement to all terms stated on the RBFS website regarding How to Submit a film. 

Fee Schedule
Early Submission : $20 (must be received by June 1, 2012)
Student Submission: $20 (must be received by June 30, 2012) (photocopy of current student ID must be submitted)
Regular Submission: $25 (must be received by June 30, 2012)

Send completed form, film, and payment to:
Rehoboth Beach Film Society
107 Truitt Ave.
Rehoboth Beach, DE 19971

For RBFS use only           date:                       entry fee:                            return postage:

Notes: