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Application Form
Prize "Simona Gesmundo" 2009
Title:
Director:
Year and month of production:
Length:
Shooting format:
Final master format:
Subject:
Script:
Production:
Cast:
Photography:
Sound engineer:
Sound:
Original soundtrack:
Editing:
Technicians and other figures (specify):
Author or contact person for the film:
Company or Association:
First Name and surname:
Address:
Telephone number/s:
Fax:
Mobile phone:
E-mail:
Release Paper
Prize "Simona Gesmundo" 2007
The undersigned……………………………
As the author / producer / distributor of the film:
Authorises the release for the showing of this piece of work during the exhibition "Il fiore di ogni dove" for the Prize
"Simona Gesmundo", 2007, and its use for the competition and promotional purposes closely related to the communication of the event.
Furthermore, the undersigned allows its use in the following instances (cross where applicable):
- on-line reference, streaming, directly from the web site of the Prize.
- non-profit-making cultural exhibitions promoted by the Association of the Prize "Simona Gesmundo".
- possible inclusion in a promotional DVD of the above mentioned Association.
The Organization will inform the authors about any possible showing of their films.
The undersigned authorises the Organization to treat personal data under the law on privacy no.675/96,
exclusively for the purposes regarding the competition or other such events as specified above or
consented to by the present release.
Date
Signature
First name and surname
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