HUMAN RIGHTS WATCH INTERNATIONAL FILM FESTIVAL
FILM SUBMISSION FORM

Deadline For Entries Is January 25, 2001

FILM INFORMATION

......................................................................................................... Name of entrant
(If not the filmmaker or distributor please attach card with name and address etc.)

......................................................................................................... Title of entry

................................... Original language

(For Non-English work) ..... English Soundtrack .....English Subtitles .....None

If none, when will the work have English soundtrack or subtitles?

............................................/................................................... Date/Type

................................... Country of Production

................................... Country/Countries where film takes place

....................... Length ............... Release Date

..... Color .....B/W

..... 35mm ..... 16mm ..... Beta S ..... 3/4" (Exhibition Formats)

............... Aspect Ratio (for film)

..... NTSC ..... PAL ..... SEECAM (for video)

For Work-in-progress:

....................... Expected Completion Date

....................... Length (as of March 2001)

.......... Percentage Complete (as of March 2001)

..... 35mm ..... 16mm ..... 3/4" (Planned Exhibition Formats)

DIRECTOR/FILMMAKER INFORMATION

............................................/................................................... Last /First Name

............................................/................................................... Title/Organization

............................................................................................... Address

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

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

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

............................................................................................... Country


............................................/................................................... Home/Business Phone

................................................................................................ Fax

................................................................................................ Email

DISTRIBUTOR INFORMATION

............................................/................................................... Last /First Name

............................................/................................................... Title/Organization

............................................................................................... Address

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

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

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

............................................................................................... Country


............................................/................................................... Home/Business Phone

................................................................................................ Fax

................................................................................................ Email

FILM DESCRIPTION
Briefly describe the work (40 words or less)

Briefly describe the human rights content

DISTRIBUTION HISTORY
Include Festivals and awards, theatrical, non-theatrical, current or future television broadcast plans, and current or future distributor plans.

I hereby authorize the Human Rights Watch International Film Festival to publicly present the submitted work. I also warrant that this exhibition at the Festival will not violate any copyright or any other right of any person, firm or corporation.

....................................................................................../................... Signature/Date

.......................................................................................................... Type or Print Name



*In lieu of a submission fee VHS screening tapes will not be returned.

*PLEASE NOTE: THE FESTIVAL DOES NOT SEND REJECTION LETTERS. We will contact you if your film has been selected for the festival.

RETURN COMPLETED FORM with a VHS (NTSC, PAL or SECAM) videotape of your work to: Human Rights Watch International Film Festival 350 Fifth Avenue, 34th Floor New York, N.Y. 10018-3299 U.S.A. Tel: (212) 216 1839 / Fax: (212) 736 1300 / Email: holleya@hrw.org


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