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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.

Kathlen Apuzzo Krasniewicz
Youth Services Librarian
Perrot Memorial Library
90 Sound Beach Ave
Old Greenwich, CT 06870
kras@perrotlibrary.org

ALSC Office
Attn: Notable Video Submission
50 East Huron Street
Chicago, IL 60611

Submission Deadline: December 31

Back to Main Children's Notable Lists page

 




Association for Library Service to Children

50 E. Huron
Chicago, IL 60611 
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alsc@ala.org

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