ENTRY FORM

ENTRY FORM

DEADLINES July 14, 2017

Receipt of entry form and all documents

CONTACT Verein zur Filmförderung in der Schweiz Bederstrasse 51 8002 Zürich, Switzerland [email protected]

1. FILM 1.1 TITLE Original title

International distribution title

1.2. LANGUAGE/S Language /s of dialogue and commentary

1.3. COUNTRY AND YEAR OF PRODUCTION Country

Year

1.4. GENRE Fiction Documentary

1.5. RUNNING TIME min

ZURICH FILM FESTIVAL

1

2. PRODUCTION UND DIRECTION 2.1. DIRECTOR First and Family Name Address ZIP, city, country Phone E-mail Website

2.2. PRODUCTION Company First and Family Name Address ZIP, city, country Phone E-mail 2.3. CO-PRODUCTION (if applicable) Company First and Family Name Address ZIP, city, country Phone E-mail 2.4. WORLD SALES COMPANY (if applicable) Company Address ZIP, city, country Phone E-mail 2.5. SWISS DISTRIBUTOR (if applicable) Company Address ZIP, city, country

4. AGREEMENT FOR PARTICIPATION OF THE FILM I have made sure with regard to third parties involved that I am legally authorized to enter the film in the production and postproduction competition. I assure that the information given is correct, and I agree to the regulations of participation. First and Family Name E-Mail Company Function City / Date ZURICH FILM FESTIVAL

Signature 2