Entry Form

The 24th International Young Audience
Film Festival Ale Kino!
Poznań 10 - 16 December 2006

MS Word's file

ENTRY FORM

The deadline for submitting entry forms together with VHS cassettes or DVD discs is 15 August 2006
The deadline for submitting prints is 22 November 2006

Children's Art Centre
Św. Marcin 80/82, 61-809 Poznań, Poland
tel. (004861) 646 44 70, fax (004861) 646 44 82
e-mail: festiwal@alekino.com http://www.alekino.com

1. original title ............................................................................................

2. English title .............................................................................................

3. country of production .............................................................................

4. year of production .................................................................................

5. director ...................................................................................................

6. live-action □ animation □

7. running time (minutes) ............................................................................

8. length (metres) .......................................................................................

9. format 35 mm□ Betacam SP □

10. screen ratio ...........................................................................................

11. original language .................................................................................

12. language of subtitles ............................................................................

13. value of print (USD) .............................................................................

14. after the Festival, the print shall be sent to the following address ...

.......................................................................................................................

15. film entrant (address, tel./fax/e-mail) ...................................................

.......................................................................................................................

I hereby declare that I am fully authorised to enter and present the film at the Festival. Entering a film for the Festival shall be construed as acceptance of the Regulations.

place and date

signature