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Home  Awards & Grants Children's Notable Lists Notable Children's Videos Childrens Notable Videos Submission Form
Notable Children's Videos Submission Form
Title _______________________________________________________________________________
Running Time ______________ Copyright Date _______________ US Release Date ______________
Purchase Price ________________ Rental Price _____________________
Producer ____________________________________________ US Citizen/Resident __________________
Address ___________________________________________________ Telephone ____________________
City __________________________________ State _____ Zip __________ FAX _____________________
Distributor _______________________________________________________________________________
Contact Name ____________________________________________________________________________
Address ___________________________________________________ Telephone _____________________
City __________________________________ State ______ Zip _________ FAX ______________________
E-Mail Address __________________________________
Has this title been previously released in another format? No _____ If yes _____, explain ___________
_________________________________________________________________________________________
Is this title part of a series? No _____ Yes _____ Series Title _____________________________________
Are program rights available for library programs? No ______ Yes ______
Do you wish to have your video returned to you after the committee has evaluated it?
No ______ Yes ______ If yes, please enclose postage and a mailing label.
Please send a copy of this form with your video to the ALSC Notable Children's Video Committee chair and the ALSC Office. In order that more than one member of the committee may view a video, please consider also sending videos with submission forms to the other committee members. If you have any questions, please contact the committee chair.
Sue Rokos, Chair (Midwinter 2009-2010)
Assistant Director/Youth Services Consultant
Mohawk Valley Library System
858 Duanesburg Rd.
Schenectady, NY 12306
srokos@mvls.info
ALSC Office
Attn: Notable Video Submission
50 East Huron Street
Chicago, IL 60611
Submission Deadline: December 31
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