FESTIVAL CINEMA LIBERO

Free Film Festival

Submission

Section Short film about a theme

(write in block letters)

FILM TITLE................................................................................................

GENRE:       (  ) Fiction        (  ) Documentary

DURATION: ………….. min.

MINUTES……………………………………………………………………………

DIRECTOR’S NAME AND SURNAME.............................................................................

YEAR OF PRODUCTION......................... COUNTRY..............................

PRODUCTOR’S NAME AND SURNAME……………………………………………….

PRODUCTION COMPANY ...............................................................................................

ADDRESS....................................................................................................................

TELEPHONE...........................................................  

FAX..................................................................

E-MAIL...............................................................................................................

WEB-SITE.....................................................................................................................

PROTAGONIST ACTOR (and character)..............................................................................

PROTAGONIST ACTRESS (and character).............................................................................

OTHER ACTORS AND ACTRESSES  (and characters) ………………………………………………...

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ORIGINAL SUBJECT.....................................................................................................

NOT ORIGINAL SUBJECT..............................................................................................

BASED ON (title and author) ............................................................................................

ORIGINAL SCREENPLAY BY .............................................................................................

ORIGINAL MUSIC BY........................................... …………………………………………..

OTHER MUSICS (TITLES AND AUTHORS) .........................................................................................

CINEMATOGRAPHY BY .................................................................................................................

EDITING BY …………………………………………………………………………………..

SET DECORATION BY .............................................................................................................

COSTUME DESIGN BY ....................................................................................................................

SOUND BY .......................................................................................................................

MOVIE’S AIM (max. 2 lines)

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SINOPSYS: (max. 2 lines)

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SUMMARY: (max. 5 lines)

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ORIGINAL LANGUAGE.....................................

SUBTITLES (if the original language is not italian, we requiere italian subtitles).

Have the film

      - been presented in other festival?..........      Which ones?...............................................................................

      - been projected in a cinema?.......... Town e name of the cinema………………………………………

      - been broadcasted on tv?..........       Which channels ?...................................................................

      - been uploaded on the Internet? ..........  Website..........................................................

Submission

- Entry fee:

Fiction Short Film: €. 25       - Documentary Short Film: €. 25

- Way of payment:    money order (  )     bank transfert (  )                                                 

Other stuffs (as the regulament required):

(  )  film DVD

(  ) Copy of the payment receive     

Film legal representative

Name and Surname:.......................................................................................................

Telephone…………………………………………… Mobile Phone………………………………

E-mail…………………………………………………………………………………………..

Hand-written by the film legal representative:

“I red and I approve in every article the regulament of the festival.”

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Film legal representative’s readable firm......................................................

Place .................................................................... Data...............................................

*