Flip Video Spotlight Application

Application Process

1. Submit this application. Please review our guidelines.

2. Flip Video Spotlight reviews the application and determines eligibility.

3. Approved organizations receive an email about Spotlight Kit distribution.

Pure Digital Technologies, Inc. reserves the right to make all determinations regarding eligibility for participation and continuing participation in its sole discretion and to amend these requirements at any time and for any reason. All use of this web site will be subject to the Terms of Use and Privacy Policy for this web site and all purchases under the Program will additionally be subject to the Terms of Purchase.

Organization Information
My organization has 501(c)(3) status: no yes
Organization Name:
Organization Description (no more than 2 sentences please):
Organization Type:
Website:
Mailing Address:
City:
State:
Zip Code:
Phone Number:
Federal Tax ID (XX-XXXXXXX):
Putting Video to Work
How will video contribute to your organization's goals?
In an ideal world, how many camcorders could your organization use this year ?
How many camcorders could your organization pay for ?
Does your organization post video online ? no yes
If yes, please describe where
Ex: your own website, Youtube, Myspace, The Hub
Do you accept online donations no yes
Contact information
CEO/President/Executive Director:
Email:
Organization Contact Person:
Title:
Email Address:
Phone Number: