ETS Video Submission Contest Entry

First Name*

Last Name*

Age of video creator*

Email*

Phone*

Please list the name of the NAMI State/NAMI Affiliate you're actively involved with*

Which category does your video fall under? You may only choose one.*

Select or enter value

What language is your video in?*

Select or enter value

Link to Video*

Link should be from Drop Box or Google Doc and be in MP4 format.

Signed Media Release*

Please attach the signed media release which was provided in the ETS video submission contest announcement.

Drag and drop files here or

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