Media Achievement Awards

Just two easy steps to enter:
1. Fill out your paper entry form (mailed to you) or this one and print.
2. Gather your media, include form, and entry fee and send it in to our listed address.
That's it! We'll get results back to you in a few short weeks!


Contact Name:
Company/Organization:
Address:
City:
State:
Zip/Postal Code:
Fax (if applicable):
Telephone:
E-mail Address:

Entries:

Client Title Category Number

Date of production: / (mm/yy)
Entry Length: minutes
 
Entrant's Signature: ___________________________________________

Method of payment: Check Money Order Visa Mastercard American Express
Please note that you'll need to input your credit card information on the printable form, not online.

Card Number: CVC Number:
Exp. Date: 
Cardholders Signature: ___________________________________________