Music and Image Registration

We welcome your attendance at the Music & Image conference during the 30th Atlantic Film Festival, September 2010 and look forward to seeing you there.

Please enter your registration information below.
* indicates required field.

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First name
Please enter your first name.
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Last name
Please enter your last name.
Company/Band or Artist Represented
Position or Title
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Address line 1
Please enter your address.
Address line 2
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City
Please enter your city.
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Province/state
Please enter your province or state.
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Postal code
Please enter your postal code.
*
Country
Please enter your country.
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Phone
Example: 001-902-422-3456
Please enter your full phone number.
Mobile/cell phone
Example: 001-902-422-3456
*
E-mail address
Please enter your e-mail address.
*
Industry Affiliation
Music Film & Television Other
Please choose an industry affiliation.

No. I do not wish my business contact information published in the 30th Atlantic Film Festival/Strategic Partners Delegate List.

Privacy Policy: Personal information disclosed will not be shared, sold or traded outside of the Atlantic Film Festival Association and will be used for the sole purpose of registration for the 30th Atlantic Film Festival. Business contact information will, however, be published in the AFF Delegate List that is distributed to AFF Delegates.