Please print the following form, fill in necessary information, sign and send along with your proposal.

American Experience Proposal Submission Form

Date of submission:

____________________________
Producers name:

____________________________
Telephone Number:

____________________________
Fax Number:

____________________________
E-mail :

____________________________
Address:

____________________________
____________________________
____________________________
____________________________
____________________________

Title of the project:

____________________________
One paragraph description of film (not to exceed 150 words):
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________

Total budget:

____________________________
Funding already raised (Please list amount and sources.):


____________________________
____________________________
____________________________
____________________________
____________________________