2013 Archival Screening Night Submission Form Survey

The AMIA Archival Screening Night provides conference participants with an opportunity to showcase recent acquisitions and preservation efforts.

Conference participants interested in submitting material for screening should complete this form no later than October 4, 20103. Screening Night participants will be contacted after this date to confirm their participation.

If you are showing material as part of any other screening or panel during the conference, we ask you not to submit that piece to the Screening Night. Due to the increasing length of Screening Night, it is possible that not all pieces submitted will be included in the program.

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* Your Contact Information

Name:

Company:

Address 1:

City/Town:

State/Province:

ZIP/Postal Code:

Country:

Email Address:

Phone Number:

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* Name of the presenter on screening night

Please note that we will try to accommodate as many formats as possible within the facility's limits.

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* Film or Video?

Film

Video

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* Format

Please note in the "Other" section below the back-up format you are able to provide (if any), FPS information if submitting films, NTSC/PAL for Betacam.

ProRes and DCP files must be of the exact content you wish to present and comply to the "6 minute or less including the introduction" time limit.

35mm

16mm

Digital Betacam

Betacam SP

Apple Pro-Res 4:2:2, 24-bit Audio*

DCP*

Other (please specify)

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* Duration

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* Sound or Silent?

Sound

Silent

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* Aspect ratio (film and video)_________

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* Please briefly describe your submission as you would like it to appear in the screening night brochure (50 words or less). Also indicate whether or not the material you submit may be offensive to others or graphic in content.

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* Comments, other information?

Deadline is October 4, 2013
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More information available at www.AMIAConference.com