Provide as much of the following information as possible. Please note that all fields marked by an asterisk MUST be completed in order for your submission to be considered. All submitted performances should be for Lead or Supporting roles only.

* Submitted Performer's Name


* Project Title


* Episode Name or Number (Go to IMDB to search for this information.)


Production Company (if known)


Character Name or Description of Scene (if known)


Performance Category: 
Female
Male
Voice

Project type (Live Action)
TV series
TV movie
Feature Film
Short Film
Other (please describe)


Project Type (Voice)
Animation
Radio Drama
Dramatic Narration
Other (please describe)


* Your Name


* Your ACTRA Membership Number


Your Daytime Phone


Your Email Address