ENTRY FORM XIII Festival Internacional de Cine de Lanzarote

All the entry form must be sent inexcusably, before 14:00 of February 01, 2013 to:
XIII Festival Internacional de Cine de Lanzarote rea de Educacin y Cultura del Cabildo de Lanzarote Avda. Fred Olsen s/n, 35500 Arrecife de Lanzarote Islas Canarias. Espaa

COMPETITION SECTION
Nacional: __ International: __ Documentary:__

FILM
Title: Month and year of production: Running time: Place and date of release: Original versin: Original recording format: Festivals and awards: Subtitles (languages): Sound: Gender: Format: Screen ratio: Country:

PRODUCTIN
Production company: Contact: E-mail: Phone:

AUTHORS & TECHNICIANS

Director: E-mail: Screenwriter: Photography: Producer: Phone:

Music: Cast:

SINOPSIS

DIRECTORS BIOGRAFHY

THE UNDERSIGNED, ACKNOWLEDGE AND AGREE: 1. I have read, understand and fully comply with all submission information, terms, conditions, eligibility requirements and deadlines. 2. To the best of my knowledge, all statements I am providing in this document are true. 3 Fullfilment of each one of the specifications hereby indicated is compulsory. The sender commits himself/herself to garantee thetruthfulness of the information and the requirements thereby indicated. 4. The short film is an original work of mine and does not infringe on the rights or intellectual property claims of any third party or entity. 5. This short film is not subject to any litigation nor is it threatened by any litigation. 6. I am duly authorized to submit this short film to the Lanzarote Film Festival. 7. I hold Lanzarote Film Fest, and all their assigns harmless from any damage to the DVDs provided, en route or otherwise, during the course of the festival. 8. The organisation is not responsible for the mishandling the items might suffer, , its owners, management, juries, subsidiaries, agents, sponsors, affiliates and etc. harmless from any and all claims of liability resulting from my entry. 9. Should this short film win a Competition Award, I am authorized and/or empowered by all parties legally representing this short film to receive all awards. 10. The producer, for promotion purposes, authorizing the issuance by a piece of TV movie (maximum 10% of the total length of the short film).The Festival may also use stills, titles, copy, and/or information from the short film for promotional purposes. 11. I give permission for the Festival to screen the short film at the Festival and at ancillary Festival presentations, programs, and/or events I accept the foundations: Name: Date: Signature