SUBSCRIPTION FORM
TITLE:
TYPE:
Documentary
Fiction
Animation
Experimental
LENGTH:
YEAR PRODUCED:
MINUTES
ORIGINAL FORMAT:
35mm
16mm
Videos
Other. Which?
TECHNICAL INFORMATION
DIRECTION:
PRODUCTION:
CAST:
SCREENPLAY:
ORIGINAL SCORE:
MONTAGE/EDICION:
EDITING:
SOUND:
AWARDS RECEIVED:
OTHER:
SUMMARY:
DIRECTOR INFORMATION
NAME:
ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE:
E-MAIL:
OBS: The printed subscription form must be signed.
Sign:
______________________________________
RG e CPF