OID - Video Submission
First Name
*
Last Name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
File Upload
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Title of your Video
*
Info about your video
*
Where was Video Taken
*
Date Video was Taken
*
-
Month
-
Day
Year
Date
Did you record this video?
*
YES
NO
Do you own this video?
*
YES
NO
Are you over 18 years of age?
*
YES
NO
Have you already submitted your video or granted rights to any other company?
*
YES
NO
To who have you submitted or given rights to this video?
Signature
*
Clear
Submit
Should be Empty: