shorts for feature ENG

The undersigned *

Name Surname

Born in *

City, state or province, country

Date of birth *

mm/dd/yyyy

Nationality *

Address *



City	State, Province
ZIP	Country

Mobile phone number *

- Prefix Number

Social security number

E-mail *

Title of screenplay or short film *

Screenplay or short film? *

Original screenplays for short film Unreleased short film

Synopsis - maximum length 1000 characters *

0/1000

Upload Synopsis

file max 10 MB (pdf file)

Private link to the Short Film visible via online video platform

(YouTube, Vimeo or any other platform guaranteeing private viewing by entering a password)

Password for online viewing

ENTRY FEE

The entry fee for synopsis is €20; if you wish to submit more than one screenplay you must pay the same fee for each of these.

The entry fee for short films already produced is€30; if you wish to submit more than one short film you must pay the same fee for each of these

N.B. The entry fee is required to cover the contest expenses.

I will pay the entry fee in the following way: *

via the PAYPAL website, indicating "contest reimbursement" as description of payment and the title of the short film submitted in the "Add a message" field. via bank transfer to account no. IT30X0308304001000000002305 (additional BIC code for payment from abroad BLPII721) held by Prem1ere S.R.L., indicating “contest reimbursement” as description of payment and the title of the short film submitted. (You must send a scanned copy of the payment receipt together with this entry form)

Pay with PAYPAL

synopsis entry fee € 20.00 EUR

short film entry fee € 30.00 EUR

scanned copy of the payment receipt

ONLY for bank transfer payment

All required documentation must be sent by 12:00 am on 1 December 2015

having read the Shorts For Feature Contest Announcement, is aware that participation implies full acceptance and total compliance with all of the provisions set forth therein as well as the sole discretion of the Jury; and

HEREBY

consents to the processing of personal data pursuant to Legislative Decree No. 196 of 30 June 2003, "Personal Data Protection Code"

Parent name and surname in case of underage applicant

Contest entry form