Submission Form

Privacy Statement: MAGNEPIX respects your privacy and will treat the information provided in a confidential manner. MAGNEPIX and its family of companies will not use any information provided by you in this form in any manner other than reviewing your project.

Contact Information

(Required Fields are marked with a *)

First Name*

Last Name*

Middle Initial

Title

Organization

Street Address

City

State/Province

Zip/Postal Code

Country

Day Phone*

Cell/Home Phone

Fax

E-mail*

Website

Please describe yourself*:

How were you referred?*

Comments, awards and festival selections: (Up to 1000 characters)

Project Information

Title*:

Type of project*:

Stage of production*:

Aspect ration*:

Format of the master*:

Services needed*:

Terms

to the Terms and Conditions*.

Thank you for contacting MAGNEPIX!