Costa Viola Film Festival - Edizione 2010

SCHEDA DI ISCRIZIONE

[ ] sezione Paesaggio

[ ] sezione Ambiente

[ ] sezione Tradizioni

TITOLO CORTOMETRAGGIO_________________________________________________________

ANNO DI PRODUZIONE_____________________________________________ OPERA PRIMA [ ]

DURATA (in minuti) ________________________________________________________________

GENERE_________________________________________________________________________

ORIGINE_________________________________________________________________________

PRODUZIONE_____________________________________________________________________

REGIA______________________________________________________________SESSO_______

SCENEGGIATURA_________________________________________________________________

SOGGETTO______________________________________________________________________

INDIRIZZO AUTORE________________________________________________________________

TELEFONO AUTORE_______________________________________________________________

LUOGO E DATA DI NASCITA______________________________________________________

E-MAIL AUTORE___________________________________________________________________

E-MAIL PRODUZIONE_______________________________________________________________

BIOFILMOGRAFIA AUTORE__________________________________________________________

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MONTAGGIO_____________________________________________________________________

FOTOGRAFIA_____________________________________________________________________

SUONO__________________________________________________________________________

MUSICA__________________________________________ ORIGINALE [ ] NON ORIGINALE [ ]

ATTORI__________________________________________________________________________

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FORMATO/COLORE__________________________________/_____________________________

LINGUA_________________________________________________________________________

SOTTOTITOLI_____________________________________________________________________

PARTECIPAZIONI A FESTIVAL________________________________________________________

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EVENTUALI PREMI_________________________________________________________________

BREVE DESCRIZIONE____________________________________________________________________

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DATA FIRMA

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Segreteria di ricezione materiale

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