| Copia e incolla il testo del modulo su un programma di videoscrittura o direttamente nel testo della mail, compilalo e invialo a immagina@festadafricafestival.com
APPLICATION FORM
(To fill in, sign and send to: immagina@festadafricafestival.com)
1. I wish to participate to the 1st edition of the competition IMAGINA FESTAD’AFRICA FESTIVAL
Name and surname.................................
Postal address.............................
Place and date of birth.........................
Workplace....................
Email and website..........................
Telephone number.............................
2. with the following image
Title
Size
Technique
Support
Year
3. I enclose the material require at point 4 (B): this application form, the photographic or video material, my biography, a description of my image, preferably on CD/DVD, and the receipt of the payment of the entry fee
4. Acknowledgements
A) I accept the selection of the 21 finalists chosen by the judges, according to the terms and conditions of FESTAD’AFRICA FESTIVAL
B) I accept my image to be used for publicity during the whole festival period
C) I accept the terms and conditions of the 1st edition of IMAGINA FESTAD’AFRICA FESTIVAL competition,
Date and signature
send to immagina@festadafricafestival.com |
