2021 Film

Please fill in the form below.
Your First Name *
Your Last Name *
Name of the Person the Award is for *

First Name Last Name
Email of the Person Award is for *
Title of the Film *
Name of the Movie Theater the Film was shown in
Link to the scene the (Actor/Actress) is in or Link to Film Pilot
Consulate Information of the Person the Award is for
Is Consulate Letter needed?

Yes No
If YES, MUST FILL OUT/WRITE THE ANSWER TO QUESTIONS BELOW:
1. Country Traveling From? (This should be the name of the country that the person possibly awarded is traveling from.)
2. Embassy Name?
3. Embassy Address?
4. Passport Number?
SELECT 1 CATEGORY
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Choose From This Category $ 100.00

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Total $ 0.00
NO REFUNDS. THIS DOES NOT GUARANTEE NOMINATION.THIS DOES NOT GUARANTEE WINNING A AWARD.
Should be Empty:

Consulate Information of the Person the Award is for