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Application Form
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Primary Title
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Duration
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Year of production
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Not Professional Professional
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Syn.
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films
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Documentary
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Animation
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Explorer Category: Nature Documentary
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Explorer Category: Travel Documentary
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Shoting format
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35 mm
16 mm
Super8
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Betacam
DV o or mini DV
Hi8
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Vhs
Super Whs
Video 8
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Digital 8
Computer Graphic
Other
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Is the work unpublished ?
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Yes No
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Is it a debut film ?
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Yes No
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Questionnaire:
In order to improbe our information channels, please answer to the following questions. How did you hear about the Festival? (Please cross the relative square):
NEWSPAPER
RADIO/TV
INTERNET
FRIENDS/ACQUAITANCES
If you have chosen Internet please let us know how:
DIRECT (search engines/official site)
INDIRECT (other sites) ( wich ones ?)_____________________________________
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Authors and Production
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Owner of the copyright
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Surname___________________________ Name__________________________________
Street_____________________________________________________________________
Postal Code____________ City______________________________________
Phone__________Fax____________ e-mail______________________________
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Direction
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Surname___________________________ Name__________________________________
Street_____________________________________________________________________
Postal Code____________ City______________________________________
Phone___________Fax____________e-mail_______________________________
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Production
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Surname___________________________ Name__________________________________
Street_____________________________________________________________________
Postal Code____________ City______________________________________
Phone___________Fax____________e-mail________________________________
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Distribution
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Surname___________________________ Name__________________________________
Street_____________________________________________________________________
Postal Code____________ City_____________________________________
Phone___________Fax____________e-mail________________________________
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Actors
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Surname_________________________ Name____________________________
Surname_________________________ Name____________________________
Surname_________________________ Name____________________________
Surname_________________________ Name____________________________
Surname_________________________ Name____________________________
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Subject and Screenplay
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Photography
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Editing
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Sound
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Music
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Subtitles Yes No
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Language of subtitles
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Further Information
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Enclosures
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Work in format___________
Photo
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Other Documentation___________
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Declaration
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I declare hereby to be holder of all the rights and to have the legal responsibility of the a/m work and to accept the rules of the Festival in all their parts. Furthemore I authorize the Video Festival City of Imperia to put at disposal of TV networks and/or other subjects or media, for educational and promotional purposes, footages of my work , without request of compensation from my part.
Date_________________________ Signature__________________________________
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To be delivered to:
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Video Festival Imperia - Art Director Mr. Fiorenzo Runco - Strada Colla, 18 - 18100 Imperia - Italy
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