Name_____________________________________________________________________
Company Name (optional)________________
Address )________________________________
City ________________ State ________________ Zip ________________
Country _______________________
Email _______________________
Telephone #________________ cell #_______________e-mail______________________
Segment Sponsor:
Which segment would you like to sponsor (ie. Producer, Director, Camera, Editing, Writer, Other)?
___________________________________________________________________________
___________________________________________________________________________
Key Contributors ($250 per show/$1000 per six week series)
_____________________________________________________________________
_____________________________________________________________________
Donors (Individuals) ($100 per show/$500 six week series)
_____________________________________________________________________
_____________________________________________________________________
Comments, questions, and additional information:______________________________________________
_____________________________________________________________________
Please return to: Don Brown
1828 Palipaa Place
Honolulu, HI 96821
e-mail: donbrown @hawaii.rr.com
For further information, please call: 223-0130