HAI VISTO MAI DOCUMENTARY FILM FESTIVAL EDITION 2013

HAI VISTO MAI
DOCUMENTARY FILM FESTIVAL
EDITION 2013
SUBMISSION FORM
Please read the 2013 Rules and Regulations carefully before completing the form.
Please complete all the information requested on the form in capital letters and mail it, together with
the required documentation, no later than April 15, 2013 (postmarked by), to the following address:
Associazione Culturale “Hai visto mai”
Via Luca Signorelli, 8 – 00196 Rome - Italy
MAIN CONTACT (person to be referred to for all that concerns the documentary):
FIRST NAME
LAST NAME
ADDRESS
CITY
COUNTRY
PHONE/MOBILE NUMBER
EMAIL ADDRESS/WEBSITE
THE DOCUMENTARY
ORIGINAL TITLE
ENGLISH TITLE
COUNTRY OF ORIGIN
YEAR OF PRODUCTION
TOTAL RUNNING TIME (see point 5 of the
Rules and Regulations)
ORIGINAL LANGUAGE
SUBTITLES LANGUAGE
VOICE-OFF LANGUAGE
ORIGINAL PRODUCTION FORMAT
FINAL MASTER FORMAT for the Selection and
possible Screening
OTHER FESTIVALS THE DOCUMENTARY HAS
PARTICIPATED IN
AWARDS WON (PLEASE SPECIFY WHAT
FESTIVAL AND WHAT YEAR)
DIRECTOR (if same as Main Contact do not fill out this part)
FIRST NAME
LAST NAME
NATIONALITY
PHONE NUMBER
E-MAIL ADDRESS
PRODUCTION (if same as Main Contact do not fill out this part)
FIRST NAME
LAST NAME
NATIONALITY
PHONE NUMBER
E-MAIL ADDRESS
SCREENPLAY BY
FIRST NAME
LAST NAME
CINEMATOGRAPHY BY
FIRST NAME
LAST NAME
FILM EDITING BY
FIRST NAME
LAST NAME
SOUND BY
FIRST NAME
LAST NAME
ORIGINAL MUSIC BY
FIRST NAME
LAST NAME
DISTRIBUTION (if any)
COMPANY NAME
COPYRIGHT HOLDER
FIRST NAME
LAST NAME
NATIONALITY
PHONE NUMBER
E-MAIL ADDRESS
I hereby declare I have fulfilled all obligations
wherein clearing third parties’ copyrights is
concerned.
HAI VISTOMAI? requires the documentary’s
copyright holders to donate the film as a
permanent contribution to the film archives of
the
FONDAZIONE SISTEMA TOSCANA MEDIATECA REGIONALE. The copy you donate
will be used for educational and archival
purposes only, and not for commercial use. You
will only be asked to donate your documentary if
it enters the final stages of the competition. In
that case, are you willing to donate your film?
SIGNATURE
Date
Full name (in prints)
Signature
ASSOCIAZIONE CULTURALE “HAI VISTO MAI”
VIA LUCA SIGNORELLI, 8 - 00196 ROME - ITALY
Phone no. +39 06 3243542 - Fax +39 06 32503325
[email protected] - www.haivistomai.it