film entry form - Festiwal Filmowy w Gdyni

“YOU INFLUENCE CULTURE” COMPETITION
held as a part of the 38. Gdynia Film Festival
FILM ENTRY FORM
film title (Polish / English):
Entry No.
(to be completed by the
organizer)
...............................
director (first name – last name - address - telephone - email):
film producer detailed information
(name – first name – last name - address - telephone - email):
film duration:
year of production:
(year of film production completion)
subtitles:
other (please, specify)
English
Polish
.................................................................
................................................................................................
legible signature of the person authorized to submit the film
(producer)
GDYNIA – FESTIWAL FILMOWY GDYNIA FILM FESTIVAL
Biuro Organizacyjne Organizational Office, ul. Wrocławska 93, 81-553 Gdynia, Poland
T: +48 58 621 15 09, F: +48 58 621 15 78
www.festiwalgdynia.pl
www.facebook.com/FPFFGdynia
enclosed media with the film other than DVD:
yes
no
screening copy of the film recorded on:
DVD
Blu-Ray
miniDV
DV
XD-Cam
HD-Cam
Betacam SP
Digital Betacam
Apple ProRes
DNxHD
XDCAM HD
digital file:
Uncompressed
picture format:
4:3
16:9
resolution:
SD
HD
detailed information of the submitting party (legal or natural person):
legal person name:
first name:
last name:
telephone:
email address:
street:
postal / zip code:
building No.
apartment No.
city / town:
website address (film / producer / director):
................................................................................................
legible signature of the person authorized to submit the film
(producer)
GDYNIA – FESTIWAL FILMOWY GDYNIA FILM FESTIVAL
Biuro Organizacyjne Organizational Office, ul. Wrocławska 93, 81-553 Gdynia, Poland
T: +48 58 621 15 09, F: +48 58 621 15 78
www.festiwalgdynia.pl
www.facebook.com/FPFFGdynia
additional materials enclosed:
photo of the
director
film still
other .................................................................
brief summary of the film:
I hereby declare that the Film submitted to “YOU INFLUENCE CULTURE” Competition is an original work
created by me or by co-authors whom I am authorized to represent. I give my consent for my personal
data to be processed and published for organizational purposes of the Competition and the submitted
Film to be screened at the 38. Gdynia Film Festival.
x
I hereby give my consent for my personal data to be processed and published for marketing
purposes by the Pomeranian Film Foundation in Gdynia, ul. Wrocławska 93, 81-553 Gdynia.
I hereby submit the film to the “YOU INFLUENCE CULTURE”
Competition and accept the Rules and Regulations of the Competition.
date: ............................
.................................................................................................
legible signature of the person authorized to submit the film (producer)
Please, send the completed form and the film copy to the following address:
Pomeranian Film Foundation in Gdynia
ul. Wrocławska 93
81-553 Gdynia
with the following note: "YOU INFLUENCE CULTURE Competition"
GDYNIA – FESTIWAL FILMOWY GDYNIA FILM FESTIVAL
Biuro Organizacyjne Organizational Office, ul. Wrocławska 93, 81-553 Gdynia, Poland
T: +48 58 621 15 09, F: +48 58 621 15 78
www.festiwalgdynia.pl
www.facebook.com/FPFFGdynia