21 OUFF REGISTRATION FORM

GENERAL DATA
Original Title:
International Title:
Date of Production:

Production Country:

Language of Dialogues:

Subtitles

Screening Format

35 mm

DCP

Duration

Other

Genre / Theme:
Is is a debut feature?:

Official Rating:

Festivals in which the film has participated:

Awards received by the film:

Brief Synopsis (500 characters Max.):

DIRECTOR'S DATA
Name and Surname:
Birth Date:

Birth Place:

Nationality:

Telephone:

E-mail:

Website:

Postal Address:
Bio-Filmography:

Ra da Canle 2, 32005, Ourense Tfn: 988 391 290 Fax: 988 232 577 cultura@ourense.es

PRODUCER'S DATA
Name and Surname:
Birth Date:

Birth Place:

Nationality:

Telephone:

E-mail:

Website:

Postal Address:
Bio-Filmography:

DISTRIBUTOR'S DATA
Name and Surname:
Nationality:

Telephone:

E-mail:

Website:

Postal Address:

CONTACT INFORMATION
Name and Surname:
Telephone:

E-mail:

Website:
Postal Address:

FILM CREDITS
CAST:

SCREENWRITER:

PRODUCER:

SOUND:

MUSIC COMPOSER:

COSTUME DESIGNER:

MAKE UP:

Ra da Canle 2, 32005, Ourense Tfn: 988 391 290 Fax: 988 232 577 cultura@ourense.es

HAIRDRESSER:

SPECIAL EFFECTS:

OTHER:

FILM'S RIGHTS
Name:
Company:

Position:

I declare that I am the film's copyright owner or a representative authorized to sign this
registration form.
The film's rights are free worldwide

YES

NO

Acquired music rights

YES

NO

ATTACHED DOCUMENTATION
Film Still

YES

NO

Director's Photography

YES

NO

Main Picture

YES

NO

Poster

YES

NO

List of Original Dialogues

YES

NO

List of Dialogues in English

YES

NO

Other

YES

NO

Trailer

YES

NO

Ra da Canle 2, 32005, Ourense Tfn: 988 391 290 Fax: 988 232 577 cultura@ourense.es