Attachment No. 1 to Rules and Regulations of III International Festival of Film Producers REGIOFUN

ENTRY FORM for COMPETITION during

III International Festival of Film ProducersREGIOFUN

FILM:

Original title
English title
Country of production
Date of production
Running time (in minutes)
Genre

DIRECTOR / DIRECTORS:

Name
Surname
E-mail
Phone number*

PRODUCER

Company name
E-mail
Phone number
Fax number*
Street
Postal code
City
Country
Company bank account no.
BIC Code (SWIFT)
IBAN

Screenplay

Name
Surname

Cinematography

Name
Surname

Music

Name
Surname

Editing

Name
Surname

Animation /refers only to animated films /

Name
E-mail

DISTRIBUTOR IN POLAND

Company name
Contact address

FESTIVAL COPY

Original language:………………………..Format(indicate the appropriate option)

35 mm
BETA SP
BETA DIGITAL
DCI standard
Other–what kind?

Copy with subtitles:Yes / No

In: ………………………(What language?)

1:1.37
1:1.66
1:1.85
Other- what ratio?

Screen ratio(indicate the appropriate option)

Sound(indicate the appropriate option)

None
Mono
Dolby Stereo
Dolby SR
Dolby Digital

INFORMATION REGARDING FUND OR INSTITUTION WHICH PROVIDED SUPPORT FROM REGIONAL PUBLIC RESOURCES**

Name
E-mail
Phone number*
Street
Postal code
City
Country

THE FOLLOWING MATERIALS ARE TO BE ENCLOSED WITH THE ENTRY FORM:

a)a screener of the film submitted to the competition, recorded in VCD, DVDor Blu-ray system;

b)a synopsis of the film in English (800 -1200 characters without spaces); for Polish films the synopsis is to be submitted in Polish;

c)at least 2 film stills in the digital version of 300 DPI resolution minimum;

d)short biographical notes of the director(s) and the producer(s) in English; for Polish films the notes are to be submitted in Polish.

DEADLINE FOR SUBMITTING FILMS TO THE FESTIVAL COMPETITION IS 15TH AUGUST 2012.

CONSENT TO ENTER FILM IN THE FESTIVAL

I hereby declare that the information provided above is true. I accept the conditions stipulated both in the Rules and Regulations and in this entry form. I declare I have a legal title to enter the film in the Festival.

Submission dateCompany SealSeal and legible signature of the person

authorised to submit the film to the Festival

…………………..……………………………………………………………….

CONTACT PERSON

/should the film be admitted to the competition, a confirmation shall be sent to the e-mail address below/

Name
Surname
E-mail
Phone number*

Explanations:

*Filling-in is not necessary.

**‘Regional public resources’ shall be understood as: public funds allocated to film production and advanced by Regional Film Funds, local authorities, regional authorities, or municipal institutions.