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Entertainment Content Submission Form
For Artist, producers and Talent Interested in Being Showcased in The Black Virtual Mall Movie Theater
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1
Company/Stage Name
*
This field is required.
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2
Social Media Name or Website
*
This field is required.
For Social Media please add complete website ex: instagram.com/yoursocialmedianame
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3
Select your category:
Film/Documentary
Comedy
Spoken Word/Poetry
Singing
Rapping
Dance
Film/Documentary
Comedy
Spoken Word/Poetry
Singing
Rapping
Dance
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4
Link To Video Content (Must be YouTube or Vimeo)
*
This field is required.
Please make sure the vieo is PUBLIC and NOT MADE FOR KIDS/CHILDREN or it won't be visible
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5
Length of Video (In Minutes)
*
This field is required.
Length of act in minutes
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6
A Short Video Description
*
This field is required.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
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7
Primary Contact
*
This field is required.
First Name
Last Name
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8
Phone Number
*
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9
E-mail
*
This field is required.
example@example.com
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10
Do you have a Store/Kiosk/Restaurant in The Black Virtual Mall?
*
This field is required.
YES
NO
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11
If NO, and you would like to apply for one please select below:
*
This field is required.
Restaurants MUST be Food Vendors ALREADY on a Delivery App ie: UberEats, GrubHub, Postmates
Kiosk
Restaurant
Store
Premium Store
No, I'm not interested
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12
By signing below you are confirming that you have the legal right to all the material that is uploaded, both audio and video. You are also granting The Black Virtual Mall LLC, Interimmersive LLC and AKAnundrum LLC full rights to display and distribute this content.
*
This field is required.
Portions of this content may be used for promotional purposes.
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13
Upload any applicable Licenses or Copyrights to visual or audio material in the video.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
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