The Rory Peck Trust

The Rory Peck Awards 2006
Sponsored by Sony

Entry Form

Category Please select the award you would like to enter Sony Impact Award The Rory Peck Award for Hard News The Rory Peck Award for Features DEADLINE FOR ALL ENTRIES: FRIDAY 1 SEPTEMBER 2006

Details of Entrant
First Name
Last Name
Nationality
Home Address:
Telephone (home)
Tel (work)
Tel (mobile)
Fax
Email
Who have you worked for in the past 18 months?
Details of Entry
Title
Brief Description of Footage (max. 50 words)

Funding: was this footage
commissioned by an agency or broadcaster?
part self-funded with support from other source(s)?
made with an independent production company?
totally self-funded?
Please give details:
Name of agency / broadcaster / production company
Contact and position
Email address and / or mobile number
Other relevant information
Transmission:
Name of broadcaster(s)
Name of programme (if applicable)
Date(s) of transmission
Name of contact and tel / email

Details of Footage
Length of footage
Format shot on
Country(ies) where filmed
Date(s) of shoot

Does your entry contain either of the following:
1. Library footage	YES NO
Time code(s)
Description of footage
2. Sections shot by anyone other than yourself?	YES NO
Time code(s)
Description of footage

Background Information
Background (Max 50 words: to include conditions while filming / support received / safety / other relevant information)

Cameraperson's Comments (Max 50 words: to include feelings whilst filming or subsequent emotional impact)

*Quotes from the above section may be reproduced as part of The Rory Peck Awards 2006 brochure and in associated publicity

The Rory Peck Trust
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Tel: +44 (0)20 7730 1411
Fax: +44 -(0)20 7730 1428
e-mail: info@rorypecktrust.org

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