COPY CLEARANCE SUBMISSION

for cinema commercials to be screened in the UK or Republic of Ireland

This form should accompany all submissions. Use individual forms for each format or product. Scripts and rough cuts receive provisional approval only. Provisional approval does not guarantee final approval but will help ensure compliance with the relevant code.

After submitting this form please submit MPEG files, AVI files, QuickTime files, scripts & storyboards as email attachments. The maximum size must not exceed 10Mb including the signature.

Send CDs and DVDs to the CAA by post or courier: please include a script if possible.

Is this a revision of a previously submitted item?* YES NO

If yes please supply either reference number or provisional approval letter date:

Advertiser*:
Product*:
Title(s) & Duration(s)*:
Format(s)*:	Script: Storyboard: MPEG: AVI: QuickTime: CD: DVD:
Further relevant information:
Agency*:
Contact Name*:
E-Mail Address*:
Telephone*:
Postal Address*:
Clearance is required for:* (At least one must be Ticked)
UK     Republic of Ireland     Both