ࡱ > n p m _ 6 bjbj:: 0> X{9\X{9\ ? 8 T " 4 ! V V V V V $ $ q' p ! Q ! V V 4 ]! ^ V V V @ V @Uf2f N s! 0 ! ' C ' ' ^ l L ! ! = R ! ' H H : Conceived and organized by: apimed c/ Girona, 20, 5 08010 BARCELONA, Spain Tel.: + 34 93 556 09 91 Fax: + 34 93 247 01 65 medimed@apimed.org www.medimed.org PROJECT - ENTRY FORM DEADLINE: JUNE 30 MEDIMED 2015 - Sitges, October 9-10 & 11 Hereby I would like to enter -free of charge- my new project(s) for MEDIMED 2015. If my project will be selected by the international jury, I undertake to pitch and present it to the invited professionals at MEDIMED. The selected projects will be listed in the catalogue of projects which will circulate to all MEDIMED participants. Please, type and send this form together with a complete treatment of the project within 5 pages: (brief synopsis, format, structure, style, point of view, current status & timeline for completion), a list of production personnel(CVs with filmographies), budget information & one B/W or colour still in JPG format (10 x 15) high resolution for printing, by e-mail preferably. We also require a work-in- progress reel of the proposed project. It can be a full rough cut, a trailer, selects, a clip, etc and it must be least three minutes in length. DVD is accepted or your Vimeo access code. Entry forms missing any of the requested information will not be taken into consideration by the organization. *The information below will be kept confidential and is for internal use only. DATE: NAME: 1 THE PRODUCER Production Company Name: Address: Postal Code: City: Country: Tel. Nr: Fax Nr: Mobile phone: e-mail: URL: Name of person entering the project & position within the company: Name of producer/pitcher: 2 THE PROJECT Original title: English title: DIRECTOR: PRODUCER: SCREENPLAY/SCRIPT: SHOOTING LANGUAGE: PHOTOGRAPHY: PRINCIPAL ACTORS, if any: % s i n g l e o f . . . . . . . . . . . . . . . . . . m i n . % s e r i e s o f . . . . . . . . . . . . . . . . . . . . . . . . . x . . . . . . . . . . . . . . . . . . . . . m i n . % 3 5 m m % S u p e r 1 6 m m % 1 6 m m %B e t a % D V C A M % o t h e r : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . % M o n o % S t e r e o % D o l b y % 1 6 / 9 % o t h e r : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D O C U M E N T A R Y ( p l e a s e , s e l e c t o n e o p t i o n o n l y ) : % a n t h r o p o l o g y , s o c i o l o g y , h u m a n i n t e r e s t % a r t s , m u s i c , c u l t u r e % h u m a n r i g h t s % n a t u r e , w i l d - l i f e , d i s c o v e r i e s , t r a v e l % c u r r e n t a f f a i r s , i n v e s t i g a t i v e j o u r n a l i s m % s c i e n c e , k n o w l e d g e , e d u c a t i o n , h i s t o r y % d o c u d r a m a % o t h e r : ( p l e a s e , i n d i c a t e ) & & & & & & & & & & & & & & & & & 3 L O G L I N E : ( I n E n g l i s h o n l y . M a x . 5 0 w o r d s ) 4 TOTAL BUDGET (in EURO): 5 FINANCE in place (make sure you give detailed & complete information): Name: Amount (in EURO): % of budget: Name: Amount (in EURO): % of budget: Name: Amount (in EURO): % of budget: Name: Amount (in EURO): % of budget: Broadcast-guarantee from (*): Commissioning Editor: Co-production agreement with: Please, attach copy of all guarantee letters of the above mentioned information. * Clearly list name of broadcaster, subsidise % 2 5 6 7 M Q R e f | } Ǻ|rdW|M|? hHO CJ OJ QJ mH sH h| CJ OJ QJ hH| hh CJ OJ QJ h\ h d 5CJ OJ QJ h\ CJ OJ QJ hH| h d CJ OJ QJ hH| h CJ OJ QJ hm` h d CJ OJ QJ hm` h CJ OJ QJ h CJ OJ QJ h d 56CJ OJ QJ h 56CJ OJ QJ h CJ OJ QJ ^J aJ h h CJ OJ QJ ^J aJ h d j h d U % 7 N f } P Q p $&d P ]a$gd $]a$gd9 $]a$ * $$d %d &d 'd N O P Q ]a$ $]a$gd| $]a$gd ]gd ] 6 ʿʶ~sh~]RH> h> CJ OJ QJ h d CJ OJ QJ h d 5CJ OJ QJ h d 5CJ OJ QJ h+M 5CJ OJ QJ h$ 5CJ OJ QJ h"{Q 5CJ OJ QJ h| h d 5OJ QJ aJ h