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REGISTRATION FORM TO REVIEW SHORT FILMS "Corto di Sera..."
The undersigned_______________________________________________________________
Adress________________________________________ City ______ _______________
Nationality _____________ e-mail _______________________________________________
Tel._________________________________
Intends to participate in the Festival of Short Films "Corto di Sera ...", with the following work:
Title: ______________________________________________________________________
Length (max 25 minutes): ____________
Director / s _____________________________________________________________________
____________________________________________________________________________
Original Music (yes / no) _____ Author: ____________________________________________
Year of production: _______
Material must be attached: SHORT FILM on DVD. SYNOPSIS / Presentation (maximum 5 lines)
NOTE: This material will not be returned and will be available to the Association.
Place and date: _________________________ Signature: ___________________________________
"Giovannello da Itala" Festival of Short Films "Corto di Sera..."VIA S. CATERINA, 25 – 98025 ITALA (ME) - VIA ROMA, 124 - 98025 ITALA (ME) TF
0909586022G. U. REGIONE SICILIANA N. 18 DEL 24.04.2008 DDG N. 158/S2TUR - 12.3.08 UNPLI 2013- 04526 C.F. E P. IVA 02925260834 www.prolocoitala.it Email: prolocoitala@pec.it - info@prolocoitala.it
DISCLAIMER
With reference to my participation in the exhibition "Corto di Sera ..." and the Legislative D. no. 196/2003 on the protection of personal data, I authorize the Association Pro Loco "Giovannello da Itala", the processing of my personal data.
The undersigned (name) _________________________________________________
It claims to be Director or Producer Short Film entitled:
____________________________________________________________________________
and to have full and exclusive rights.
Declares that it does not infringe the rights of third parties as expressed by the Law 633/1941 concerning copyrights.
Authorize a public screening of his short film for cultural purposes.
In addition, the undersigned pursuant to and for the purposes of Legislative Decree no. 196/2003 gives his consent to the processing of personal data, even with tools.
Place and date: _________________________
Signature: __________________________________
VIA S. CATERINA, 25 – 98025 ITALA (ME) - VIA ROMA, 124 - 98025 ITALA (ME) TF 0909586022
G. U. REGIONE SICILIANA N. 18 DEL 24.04.2008 DDG N. 158/S2TUR - 12.3.08 UNPLI 2013- 04526 C.F. E P. IVA 02925260834 www.prolocoitala.it Email: prolocoitala@pec.it - info@prolocoitala.it
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