Registration Form
Event passes are $50 each. Discount codes are available through Facebook Film Groups and the CT Film & Television Alliance. The registrant that is paying for the event badge or badges must fill in the name and contact information section at the top of the form. Badges are your passes for the event and must include your full name and the titles you use in the film industry, television industry, or the arts. IE: actor, writer, director, musician, illustrator, etc. Your primary title should be filled in as Title 1. Title 2 can be your secondary title or your company name. You many also fill in Title 1 as Student if you are still deciding, and fill in Title 2 with the name of the school you are attending. Badges can be picked up near the entrance of Goodwin University on the day of the event. Please bring your ID. When using discount codes please be aware the total at the bottom of the form may zero out. If you see this keep typing the complete discount code. If you are still having issues simply refresh your browser and try filling in the form again.
How Many Attendees Are You Registering?
Please Select
1
2
3
4
5
6
7
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10
Including Yourself
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Titles for Badge. Badges can be picked up near the entrance of Goodwin University on the day of the event. Please bring your ID
*
Titles for Badge. Badges can be picked up near the entrance of Goodwin University on the day of the event. Please bring your ID
*
Titles for Badge. Badges can be picked up near the entrance of Goodwin University on the day of the event. Please bring your ID
*
Titles for Badge. Badges can be picked up near the entrance of Goodwin University on the day of the event. Please bring your ID
*
Titles for Badge. Badges can be picked up near the entrance of Goodwin University on the day of the event. Please bring your ID
*
Titles for Badge. Badges can be picked up near the entrance of Goodwin University on the day of the event. Please bring your ID
*
Titles for Badge. Badges can be picked up near the entrance of Goodwin University on the day of the event. Please bring your ID
*
Titles for Badge. Badges can be picked up near the entrance of Goodwin University on the day of the event. Please bring your ID
*
Titles for Badge. Badges can be picked up near the entrance of Goodwin University on the day of the event. Please bring your ID
*
Titles for Badge. Badges can be picked up near the entrance of Goodwin University on the day of the event. Please bring your ID
*
Total Amount Due
Discount Code
Percentage
Total Amount Due
*
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next
( X )
USD
Based on number of registrants
Submit
You Can Submit Any Questions Here With Your Registration Form or Email Your Question To: contact@filmindustrymixer.com
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