Information Form

Please fill out the information below and send with each tape that is submitted to Shenandoah Valley Outdoors.

Date:  ________________________

Name:  ________________________

Address:  ___________________________________________

Phone:  _____________________________

E-Mail:  ______________________________

Type of footage on tape:  _________________________________________________________________

Location of footage on tape:  State: _______________________

            Town or city: _________________________

Date footage was shot:  ______________________

Would you like your footage returned?  Yes___ or No___

Please fill out a "Photo and Video Consent and Release" for each tape.