Entry Form

Please complete the entry form in full before sending it.

*required fields

Original title*
English title*
Country of production*
Year of production*
Director*
Telephone*
Email*
Production company
Telephone
Email
Credits
Script*
Production*
Cast
Others functions directed by women (like photography, art, edition, sound, etc)
Synopsis - attach a synopsis or description of the work *
Festival participations - Awards or distinctions
Age rating *
Describe the content (sex, nudity, violence, etc.)*
Contacts for the catalogue
Name*
Company
Adress
Telephone
Email*
Website
TECHNICAL INFORMATION (tick all appropriate information)
* Fiction Documentary Animation Experimental
Running time* '
Screening format*  35mm 16mm DVD DVCam NTSC MiniDV
Screen ratio  1.33 1.66 1.75 1.85 2.35 (Cinemascope)
*  Color P&B
Number of reels
Sound  Optical Mono Dolby A Magnetic Stereo Dolby SR Silent Dolby digital
OTHER INFORMATION
Would like to participate in possible awards for foreign films offered by partners, such as acquisition for exhibit on cable TV;*
 yes no
Would like to participate in other special programs of the Festival, besides the International Competition;*
 yes no
Would like to participate in extra screenings off Rio de Janeiro, in others Brazilian cities until December, 2011;*
 yes no
I authorize the Festival to exhibit an up to a 30-second excerpt/teaser/preview of the film on the Festival website www.feminafest.com.br, in order to promote the event;*
 yes no
I authorize the Festival to exhibit on the Festival video showcases the DVD of the film during the event.*
 yes no

I am responsible for all the information declared above, I accept the Festival regulations and authorize the exhibition of this film in Femina Intemational Women's Fllm Festival, at CAIXA Cultural Rio de Janeiro, as weII as the use of images and sounds of the film for the promotion of the event.*

Name*
Function*
Date* - pattern dd/mm/yyyy

Attention: Be sure to write the following declaration on your package “FILM/VIDEO FOR FESTIVAL PURPOSES ONLY – NO COMMERCIAL VALUE”. If you have to declare any value for customs purposes, please declare a maximum of $2 USD. The organizers of the Festival will not be responsible for entries shipped with any other declared value for customs purposes.

FEMINA – International Women’s Film Festival
Rua Álvaro Alvim, 24/703A
Rio de Janeiro – RJ – 20031-010 – Brazil
program@feminafest.com.br
www.feminafest.com.br

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