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PARTICIPATION FORM
TITLE –
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SUMMARY, CONTENT AND BRIEF COMMENT –
SUBJECT AND SCRIPT (original or taken from) –
MAIN INTERPRETERS –
MUSIC (original or taken from) –
TYPE OF FACILITY / HANDICAP SERVICE –
or of the project with people with disabling pathology
NUMBER OF PHOTOGRAPHS (specify format: paper or digital) –
Dear Secretariat of
NEW CINEMA FESTIVAL
c / o Dr. Romeo Della Bella
Via Ponchielli 7, 20064 Gorgonzola (MI)
The collection, processing and possible disclosure of personal data sent to us is authorized (D.L.
n 196 of 2003).
The Festival secretariat, the data controller pursuant to the aforementioned law, will use the
material received for social and non–profit purposes.
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