Entry for the 15th Cine Las Americas Festival

Original Title*

English Title*

Country*

Year*

Synopsis (English - required - 1000 characters or less including spaces)*

Synopsis (Original language - optional - 1000 characters or less including spaces)

Genre*

Language(s)*

Subtitles (None / English / Spanish / Portuguese / Other)*

Filming Locations*

Total Running Time (minutes)*

Color or Black and White?*

Original Format(s)*

Exhibition Format *

Exhibition Format Aspect Ratio*

Director*

Producer*

Executive Producer

Production Company*

Screenwriter*

Cinematographer*

Editor*

Music*

Sound/Sound Design*

Principal Cast*

Related Websites

Director's Address

Street*

City*

State*

Postal Code*

Country*

Telephone*

Mobile

Email*

Is this the director's first or second feature film? *

Director Biography (1000 character limit including spaces)*

Director Filmography [no character limit]:*

Contact Person*

Relationship of the contact person to the film*

Contact's Address

Street*

City*

State*

Postal Code*

Country*

Telephone*

Mobile*

Email*

Does the film have a distributor for the United States and its territories? *
(this must be disclosed if film has U.S. distributor for festival screening purposes)

Yes

No

Note: Please provide Distributor contact info if applicable; if your film does not have distribution for U.S. and territories, please provide print source contact info. (for internal festival use only)

Distributor/Print Source Contact Person*

Distributor/Print Source Company*

Distributor/Print Source Address*

Street*

City*

State*

Postal Code*

Country*

Distributor/Print Source Phone*

Distributor/Print Source Mobile

Distributor/Print Source Email*

(for general public inquiries)

Print Source Contact *

Print Source Contact Email*

If selected to screen at the Cine Las Americas International Film Festival, please indicate what the release status of the film would be, as of April 24-29, 2012*

Is the film scheduled to play at other festivals or venues prior to Cine Las Americas?*

Yes

No

If yes, please provide detailed information about these screenings:

Is the film scheduled for theatrical release in the United States?*

Yes

No

If yes, please provide the U.S. theatrical release schedule:

Is the film scheduled for T.V. play in the United States? *

Yes

No

If yes, please provide the U.S. TV play schedule

I HAVE READ AND AGREE TO THE TERMS SET FORTH IN THE GUIDELINES OF THE CALL FOR ENTRIES.*

HE LEIDO Y ESTOY DE ACUERDO CON TODAS LAS SECCIONES ESTIPULADAS EN LA CONVOCATORIA.

JÁ LI E CONCORDO COM OS TERMOS APRESENTADOS NO REGULAMENTO DA CONVOCAÇÃO.

I AUTHORIZE CINE LAS AMERICAS TO REPRODUCE THE PREVIEW COPY OF THIS FILM FOR THE LIMITED PURPOSES OF SELECTION COMMITTEE SCREENINGS AND PRESS SCREENINGS.*

AUTORIZO A CINE LAS AMERICAS REPRODUCIR LA COPIA DE REVISION DE MI PELICULA PARA EL PROPOSITO LIMITADO DE REVISION EN COMITES DE PROGRAMACION Y DE LA PRENSA.

AUTORIZO CINE LAS AMERICAS A REPRODUZIR A CÓPIA DE REVISÃO DESTE FILME PARA OS FINS LIMITADOS DAS EXIBIÇÕES DO COMITÊ DE SELEÇÃO E DA IMPRENSA.

I AUTHORIZE CINE LAS AMERICAS TO USE UP TO TWO MINUTES OF THIS FILM FOR THE LIMITED PURPOSE OF PROMOTING THE FILM FESTIVAL ON TV, RADIO, THE INTERNET, AND MOVIE THEATERS.*

AUTORIZO A CINE LAS AMERICAS USAR HASTA DOS MINUTOS DE MI PELICULA PARA EL PROPOSITO LIIMITADO DE PROMOCION DEL FESTIVAL EN TELEVISION, RADIO, INTERNET, Y CINES.

AUTORIZO CINE LAS AMERICAS A USAR NÃO MAIS QUE DOIS MINUTOS DESTE FILME PARA OS FINS LIMITADOS DA DIVULGAÇÃO DO FESTIVAL NA TELEVISÃO, RÁDIO, INTERNET E CINEMAS.

I UNDERSTAND THAT CINE LAS AMERICAS USES PREVIEW COPIES OF SUBMITTED FILMS FOR THE LIMITED PURPOSE OF NOT-FOR-PROFIT AND EDUCATION SCREENINGS, BUT WILL DO SO ONLY AFTER PERMISSION TO USE THE PREVIEW COPY FOR SAID SCREENING(S) IS GRANTED BY AN AUTHORIZED REPRESENTATIVE. *

ENTIENDO QUE CINE LAS AMERICAS USA LAS COPIAS DE REVISION DE PELICULAS POSTULADAS PARA EL FESTIVAL CON EL PROPOSITO LIMITADO DE PROYECTARLAS EN FUNCIONES EDUCATIVAS Y SIN FINES DE LUCRO. ENTIENDO QUE CINE LAS AMERICAS UTILIZARA COPIAS PARA TALES FINES SOLO CUANDO UN REPRESENTANTE AUTORIZADO DE LA PELICULA APRUEBE LAS CONDICIONES DE PROYECCION.

ENTENDO QUE CINE LAS AMERICAS USA AS CÓPIAS DE REVISÃO DOS FILMES INSCRITOS PARA OS FINS LIMITADOS DE EXIBIÇÕES SEM FINS LUCRATIVOS E EXIBIÇÕES EDUCACIONAIS. ENTENDO QUE CINE LAS AMERICAS UTILIZARÁ AS CÓPIAS PARA TAIS FINS SÓ QUANDO UM REPRESENTANTE AUTORIZADO DO FILME APROVAR AS CONDIÇÕES DA EXIBIÇÃO.

Please select one of the following payment options.*

Por favor, elija una de las siguientes formas de pago.

Por favor, escolha uma das seguintes opções de pagamento.

Name of person completing this form*

Nombre de la persona que manda este formulario

Nome da pessoa submetendo este formulário

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AUSTIN NEWS AND SCREENINGS

15th Cine Las Americas International Film Festival Entry Form

April 24 – 29, 2012

Basic Information

Main Credits

About the Director

Contact Information

Distribution/Print Source

Distributor/Print Source Contact

Print Source Information

Release Status

Agreement / Condiciones / Condições

Payment / Pago / Pagamento