#
Original transmission
or online release date
Organisation
Your name
Job title
Address
Town/City
Post/Zip Code
Country
Telephone
Your e-mail
Live journalism
Investigative documentary
Do
mestic
current affairs documentary
International current affairs documentary
Science programme
Children’s factual programme/series
Specialist programme or series
Short documentary, feature or report
Live sports coverage
TV personality of the year
Transmedia production
Most innovative production technology
Entry form
One entry form must be completed for each entry. One entry fee payable for each entry.
USE BLOCK CAPITALS ON THIS FORM
Entry title
Transmission date
#
dd
/
mm
/
yyyy
Language
I want to submit the programme via upload
on DigiBeta/DVCam tape [enclose your tape and 3 x DVDs with this form]
I am enclosing my entry fee of £150.00
(£125 plus UK VAT at 20%)
payable to “AIB” drawn on a UK bank
Please charge the credit card shown below with £150.00
(£125 plus UK VAT at 20%)
Please send me an invoice for my entry fee of £150.00
(£125 plus UK VAT at 20%)
I am enclosing my entry fee of £75
(£62.50 plus UK VAT at 20%)
payable to “AIB” drawn on a UK bank
Please charge the credit card shown below with £75.00
(£62.50 plus UK VAT at 20%)
Please send me an invoice for my entry fee of £75.00
(£62.50 plus UK VAT at 20%)
Signature of entrant
Cardholder’s name
Expiry date
Cardholder’s signature
Credit card billing address
Post/Zip code
Country
Cardholder’s e-mail
(for confirmation)
This form and accompanying media and documentation must be submitted
by 1600 GMT on 5 July 2013
to:
The AIBs 2013, Association for International Broadcasting, Room G210, Little Sandrock, Cranbrook Road, Hawkhurst, CRANBROOK, TN18 4BD, United Kingdom
card number
*the last three digits on the signature strip on Diners, Mastercard and Visa cards, and the four digits printed above the card number on American Express.
security number*
TV Award Category
please tick the box
Non-member
AIB members
1...,15,16,17,18,19,20,21,22,23,24 26,27,28