ScienceFilm: FHL 2011 Registration

Workshop Name*

Full Name*

First Name Last Name

E-mail*

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number*

- Area Code Phone Number

Professional Affiliation

Brief Backround including filmmaking experience (if any)

Will you be bringing a video camera with you?

If so, what kind?

Will you be bringing a computer with you?

Will you be bringing video editing software with you?

I would like more information about renting:

a video camera a computer audio equipment

Special Dietary Requests

Special Housing Requests

Registration Payment*

Pay using Paypal - Registration for FHL Workshop $1,449.00 USD
Pay using Paypal - Registration for FHL Workshop (No Room & Board) $1,079.00 USD
Pay by cheque (Make cheque (US$1449 or US$1079) out to Jeff Morales, and mail to: VONIGO Films, RR1 H42, Bowen Island, British Columbia, Canada, V0N1G0) Free

IMPORTANT: Your seat in this workshop is not guaranteed until we recieve full payment. To ensure adequate participation and the maximum number of participants, we enforce strict cancellation policies. Cancellation before Mar 28, 2011 will result in a full refund. Cancellation between Mar 29 ^th , 2010 and April 15 ^th , 2011 will result in a $200 penalty, and cancellation after April 15 ^th will result in a forfeit of your payment. If we can fill your seat, you will get your full deposit back. Receipts for payments will be sent out when we get your payment. If we have less than 10 participants registered by April 17 ^th , 2011, the workshop will be cancelled. Cancellation of the workshop will result in a full refund of your deposit.

I have read and I understand the cancellation policy*

Yes No