Name *
Company
Address *
City *
State
Zip Code *
Phone *
Email *
Member Status

Entry 1

Entry Title *
Category
Entry Objective (Explain what viewers should do, know or feel after viewing the program. Please be clear and concise)
Entry Usage (Who is the audience and explain how and where the program was used/shown)
Client *
Producer
Production Company
Production Cost
Director
Editor
Designer
Programmer
Writer
Videographer
Other (Specify)
Format
Length

Entry 2

Entry Title *
Category
Entry Objective (Explain what viewers should do, know or feel after viewing the program. Please be clear and concise)
Entry Usage (Who is the audience and explain how and where the program was used/shown)
Client *
Producer
Production Company
Production Cost
Director
Editor
Designer
Programmer
Writer
Videographer
Other (Specify)
Format
Length

Entry 3

Entry Title *
Category
Entry Objective (Explain what viewers should do, know or feel after viewing the program. Please be clear and concise)
Entry Usage (Who is the audience and explain how and where the program was used/shown)
Client *
Producer
Production Company
Production Cost
Director
Editor
Designer
Programmer
Writer
Videographer
Other (Specify)
Format
Length

Entry 4

Entry Title *
Category
Entry Objective (Explain what viewers should do, know or feel after viewing the program. Please be clear and concise)
Entry Usage (Who is the audience and explain how and where the program was used/shown)
Client *
Producer
Production Company
Production Cost
Director
Editor
Designer
Programmer
Writer
Videographer
Other (Specify)
Format
Length

Entry 5

Entry Title *
Category
Entry Objective (Explain what viewers should do, know or feel after viewing the program. Please be clear and concise)
Entry Usage (Who is the audience and explain how and where the program was used/shown)
Client *
Producer
Production Company
Production Cost
Director
Editor
Designer
Programmer
Writer
Videographer
Other (Specify)
Format
Length

Entry 6

Entry Title *
Category
Entry Objective (Explain what viewers should do, know or feel after viewing the program. Please be clear and concise)
Entry Usage (Who is the audience and explain how and where the program was used/shown)
Client *
Producer
Production Company
Production Cost
Director
Editor
Designer
Programmer
Writer
Videographer
Other (Specify)
Format
Length

Entry 7

Entry Title *
Category
Entry Objective (Explain what viewers should do, know or feel after viewing the program. Please be clear and concise)
Entry Usage (Who is the audience and explain how and where the program was used/shown)
Client *
Producer
Production Company
Production Cost
Director
Editor
Designer
Programmer
Writer
Videographer
Other (Specify)
Format
Length

Entry 8

Entry Title *
Category
Entry Objective (Explain what viewers should do, know or feel after viewing the program. Please be clear and concise)
Entry Usage (Who is the audience and explain how and where the program was used/shown)
Client *
Producer
Production Company
Production Cost
Director
Editor
Designer
Programmer
Writer
Videographer
Other (Specify)
Format
Length

Entry 9

Entry Title *
Category
Entry Objective (Explain what viewers should do, know or feel after viewing the program. Please be clear and concise)
Entry Usage (Who is the audience and explain how and where the program was used/shown)
Client *
Producer
Production Company
Production Cost
Director
Editor
Designer
Programmer
Writer
Videographer
Other (Specify)
Format
Length

Entry 10

Entry Title *
Category
Entry Objective (Explain what viewers should do, know or feel after viewing the program. Please be clear and concise)
Entry Usage (Who is the audience and explain how and where the program was used/shown)
Client *
Producer
Production Company
Production Cost
Director
Editor
Designer
Programmer
Writer
Videographer
Other (Specify)
Format
Length

ONLY Student entries will be accepted.

Please review all your information to verify that it is correct. When you hit submit, you will be taken to PayPal to complete the transaction. Please print out the email that will be sent to you and ship that information with your media to MCA-I Madison, c/o Lois Weiland, 7185 Hickory Run, Waunakee WI 53597


If you wish to pay by check, just complete this form and we will send you an email with your Wave Entry information for you to send in along with your payment ( made out to MCA-I Madison ) to the address above. Please email loiswei@aol.com if you have questions.


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