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Anime Dojo Panel Submission Form
Panelists:     
                        

Panel Name:                                                                                

Genre:                                                                     
(Example: mecha, wacky anime, detective, dedicated to an anime creator)          

Write a description of your panel.
(This description will be used for the Program Book)
                        

List of Anime Being Shown
(Sorry, AnimeIowa currently cannot provide video source material to panelists)
                        

Click here if you plan on showing entire episodes or clips longer than 10 minutes.

List of available equipment. Check all that you need or think you may need.
Room will be outfitted with a microphone and speakers.
Standalone DVD Player                    Projector and Screen
Video Monitor (TV)                             PC Monitor                  
                                  VCR                                                        PC with DVD and Media File Capability

LEAD PANELIST/PRIMARY CONTACT INFORMATION

Name:      Badge Name:
Email:              Phone #:
Address:                      City:      
State:                      ZIP:

Estimated Panel Duration:

Preferred time for your panel:
  1st Choice:       3rd Choice:
2nd Choice:        4th Choice:

Check here if your panel will require more than one time slot
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