Please mail this
portion to: Backscatter
2004
Monterey Shootout
225
Cannery Row
Monterey
CA 93940 Questions may be directed to: Gayle & Richard Todd 831-455-2000
Name
Street
address
Address
City
State/Province
Zip
code
Country
Work
Phone
Home
Phone
E-mail
Package
Entry
$85 Entry Fee (includes film
festival)
I will be attending the Film Festival
I will not be attending the Film Festival
Individual
Events
$15 Film Festival Only # of Tickets Available at door
only
$__________
Categories
Please
check which categories you will be entering
Advanced Film
Novice Film
Advanced Digital
Novice Digital
Video
Certification
Number
Form
of Payment
Checks payable to The Monterey Shootout
On-line
Credit Card Payment
Shootout
Registration $85
(includes Film Festival & Cookout)
Film
Festival $15
(for Guest)
Shootout
Cookout $35
(for Guest)
On-line payers must still mail
in their entry form!
