APPLICATION FOR ADJUDICATION
FESTIVAL 2010
MUST BE RETURNED BY: SEPTEMBER 21, 2009
THEATRE GROUP__________________________________________________________________________________________
MAILING ADDRESS________________________________
POSTAL CODE_____________________________________
CITY/TOWN_______________________________________
PHONE #__________________________________________
FAX # ____________________________________________
EMAIL____________________________________________
WE WISH TO PARTICIPATE
IN FESTIVAL _____}
(CHECK ONE)
OUT OF FESTIVAL_____}
CONTACT PERSON________________________________________________________________________________________
MAILING ADDRESS________________________________
POSTAL CODE_____________________________________
CITY/TOWN_______________________________________
PHONE #__________________________________________
FAX # ____________________________________________
EMAIL____________________________________________
FUTURE CORRESPONDENCES TO BE SENT TO THIS ADDRESS
TITLE OF PLAY ____________________________________
AUTHOR __________________________________________
DIRECTOR ________________________________________ PHONE #__________________________________________
EMAIL ____________________________________________
PRODUCER _______________________________________ PHONE #__________________________________________
EMAIL____________________________________________
PLEASE FILL IN ALL YOUR PERFORMANCE DATES
IN ORDER OF CHOICE
1) ________________________________
2) ________________________________
3) ________________________________
4) ________________________________
5) ________________________________
6) ________________________________
|
7) ________________________________
8) ________________________________
9) ________________________________
10) ________________________________
11) ________________________________
12) ________________________________
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NOTE: In-Festival participants are restricted to the eligibility period October
123, 2009 to February 19, 2010. Other participants are allowed to extend
the eligibility period, subject to the Adjudicator’s availability
MAIL TO: Stephen
A. Repuski
20 Ottawa Drive
Phone (519) 351-1051
Chatham, Ontario
E-mail Stephenr@ciaccess.com
N7L2J6
