FILM EXPO TEXAS®

MAIL IN REGISTRATION

Name____________________________________________ Email___________________________________

Company______________________________________________

Phone_______________________________ Phone_________________________________

Email_______________________________________ Website________________________________________

Would you like to be added to our email list: Yes_____ No_____ I’m already on the list_______

Please check which pass or passes you are paying for:

Full Expo Pass $35. Quantity_________

(This year the price of passes is $35. for everyone)

TOTAL __________________

FORM OF PAYMENT: (check one) Cash_________ PayPal___________

YOUR EXPO PASS WILL BE AVAILABLE FOR PICKUP ON EXPO DAY AT THE REGISTRATION TABLE.

OCCUPATION:

Producer_____ Director_____ Actor_____ Production Manager_____ Writer/Screenwriter______

Technical Crew Member_____ Makeup Artist_____ Art Director_____ Other (specify)_____________________

NO REFUNDS: Your registration and payment for FILM EXPO TEXAS serve as affirmation and acknowledgement of the NO REFUND policy. Your attendance also serves as acknowledgment and agreement that you may be videotaped as part of your attendance and/or participation at Film Expo Texas and that you agree to allow your likeness to be taped and used for Film Expo Texas promotional purposes..

MAIL TO: FILM EXPO TEXAS REGISTRATION – PO Box 22194 - Houston, Texas 77227

We may be reached at 800-975-8119 Ext. 703

_____________________FOR USE OF FILM EXPO TEXAS ONLY________________________

DATE RECEIVED______________

TOTAL # OF PASSES __________

PASS_______ BAG_______ PROGRAM_______ DOOR PRIZE TICKET_______

ISSUED BY (Print Name)________________________________________