Good Game
Video Submission Form
Submission Address
Good Game
ABC2
GPO Box 9994
Sydney NSW 2001
Tel: 02 8333 2415
Email: [email protected]
Website: www.abc.net.au/goodgame
Your name:
Address:
City:
State:
Postcode:
Home phone:
Mobile phone:
Email address:
Date of birth:
Age:
Video Title:
Length:
Brief Synopsis:
By signing below, you acknowledge that you have read the terms of submission and
agree to be bound by it.
……………………………………………………………………
(Signature)
PRINT NAME:…………………………………………………..
DATE: ……………………………………………………………