Please describe the subject of the material you need in the space below; include other information where relevant: year of shot, technical specifications (colour or B&W;, camera angles, shooting conditions, etc.), intended use (e.g. dramatic feature, documentary), target market (e.g. television, consumer video) and territory (e.g. Canada, North America, world).

Please provide the following information. (Sections with * must be completed)

First name*		Last name*
Company*
Addresse
City		Province
Country		Postal code
Telephone*		Fax*
Email*

Please indicate the desired format for your customized preview cassette:
NTSC videocassette format: 1/2" VHS 3/4"