Entry form for press

V Russian Anthropological Film Festival

September, 14-20 2006

NAME AND SURNAME___________________________________________

PERSONAL ADDRESS___________________________________________

COUNTRY ______________________________________________

CITY ____________________________________________________

TELEPHONE ______________________________ FAX __________________

E-MAIL______________________________

NAME OF MEDIA COMPANY_________________________________________________________________

 BUSINESS ADDRESS_____________________________________________________

COUNTRY______________________________________________

CITY____________________________________________________

TELEPHONE ______________________________ FAX __________________________

E-MAIL______________________________

ANOTHER MEDIA COMPANIES FOR WHAT YOU ACTS____________________________________

HOLDER OF A POST:

      c EDITOR IN CHIEF          c FILM EXPERT                  c REVIEWER        

  c CAMERAMAN                c TECHNOLOGIST           c PRESS PHOTOGRAPFER

IF ANOTHER, PLEASE, WRITE__________________________________________________________

TIPE OF MASS–MEDIA:                       c PRINTING COMPANY         c TV      c RADIO

      c PRESS-AGENCY                               c PHOTOAGENCY

ANOTHER_______________________________________________________________________

                                               c DAILY                              c WEEKLY          c MONTHLY
ANOTHER ________________________________________________

CIRCULATION___________________________________________________

FOR TV AND RADIO

TIME OF TRANSLATION ____________________________________________

PRODUCER ___________________________________________ EDITOR IN CHIEF ________________________

ARE YOU NEED HOSTEL______________________________________________________________

YOU PLAN TO VISIT THE FESTIVAL:

FROM__________________________ TILL ____________________________ SEPTEMBER 2006