A. C. Lanterna di Diogene

RELEASING

I:

Name:                             Surname:

Telephone:                     Mobile:

e-mail:

Web site:

owner of the copyright on the film titled:

directed by (Name and Surname):

produced by:

in the year:                     Ruling time:

Following the presentation in the Festival Cinema Libero (Free Cinema Festival), authorizes the AC Lanterna of Diogenes (organizer of the Festival) to the public screening of this film.

The Association is committed to inform the omner:

- on the places and dates of any screening,

- on possible buyers or distributors of the film.

In case of paying screening will be paid to the rightful 10% of the income.

In the event of formal contact, by the Association, of the beneficiary with a possible buyer, The Association does not claim percentage.

City (and Country):                       Date:

Signature  readable of the owner:

Seal (if the owner of a company or association)