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Primary/Secondary/Corporate Awards

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Are you an individual or a corporation?
I am an individual claiming my award as the primary recipient.
I am an individual purchasing award statuette(s) for myself as the secondary recipient or late primary recipient.
I am a corporation claiming commemorative awards as an official entrant.
I am a corporation purchasing additional corporate commemorative awards that will remain in the legal possession of the corporation.
I am a corporation that is paying for an individual to receive award statuette(s) that will remain in the legal possession of the individual and not the corporation.


All fields are required.

Name of Individual to Appear on Award:

Do not name more than ONE approved primary or secondary individual.  You can complete another form for another person.

Credited Role:

The credited role may be different from the recipient's job title. Please indicate if the exact credited role is shared.

Name of Award Category:

Do not name more than one award category.  You can complete another form for another award category after completing this one.

Name of Nominated Work:

Do not name more than one nominated work.  You can complete another form for another nominated work after completing this one.

Name of Corporation to Appear on Award:

List a single publisher, developer, or contractor. You can complete another form for another corporation.

Year of Awarded Work:

Do not indicate more than one year.  You can complete another form for another year after completing this one. 

Shipping Instructions for Award:

Payment Options
I have no payment due. 
I am sending a check for $250 per award statuette, payable to NAVGTR Corp.
I am making an electronic payment to NAVGTR Corp.

Other Codes
Your E-mail Address
Phone
Publisher
Developer


Twitter name (optional)
Facebook name (optional)
MySpace name (optional)

Terms and Conditions

Paste the Terms and Conditions (see right) into this box and then check the following box to indicate that you accept these terms.
I accept these terms.

Your Name:

Your Signature:

This signature format is used to confirm that you are a human and not a bot.

i.e. If your name is Sha Mulan, type /Sha Mulan/ to provide an electronic signature.


Date of Signature: MM/DD/YYYY

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NAVGTR Corp. is a 501(c)(6) non-profit organization.

Contact:  Tom Allen
(410) 721-8895
info at navgtr dot org
 

Use this database to view all winners to date.

Use this database to help you complete this form.

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Complimentary Awards:

Award statuettes for the present awards year are complimentary only for the individual person named on the award who is the primary recipient in an award category. For example, a Lead Artist could be considered a primary recipient in the Art Direction or Lighting/Texturing category, while additional Artists would be secondary recipients where deemed eligible by the Academy. If there is more than one primary recipient, the complimentary statuette is provided to the first eligible claimant. Late claims beyond the scope of the foregoing are subject to review on a first-come, first-serve basis at the discretion of the Academy as funds allow. Late fees not to exceed $250 per award statuette may apply.

Terms and Conditions:

I will accept this award and request that it be shipped to the above address.  I agree not to sell, trade, or otherwise exchange this award during my lifetime.  I also agree to return this award to NAVGTR Corp. in the event that I would otherwise dispose of this award.  I grant permission to use my name and likeness for promotional purposes.  By accepting this award, I am confirming that I performed work directly and substantially related to this award category (or that I represent a corporation receiving a commemorative award that will remain in the possession of the corporation).  I understand that NAVGTR Corp. will follow the entry rules, limitations, and procedures described in the Official Entry Form & Rules page, and I will provide the official game or product credits as proof of my eligibility if NAVGTR Corp. is not in possession of them.  I understand that the Academy reserves the right to investigate, seek further documentation to support, and/or specifically reject a partys determination of any individual as an eligible award recipient based on the appropriateness of the relationship between the individuals credited title and the category of the nomination, and other factors.  In the event that a rejection occurs, the fees associated with each rejected individual will be refunded.  I understand that other team members may also be eligible to receive their own awards for this category.  I agree to hold harmless the NAVGTR Corp. from any and all direct or indirect claims, actions, suits, or liabilities arising out of or in connection with the actions directly or indirectly related to the certification process.

The NAVGTR logo/trophy is a registered trademark of the National Academy of Video Game Testers & Reviewers Corp.