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Press Accreditation
4th INTERNATIONAL BURSA SILK ROAD FILM FESTIVAL
14-22 November 2009
PRESS ACCREDITATION acreditation FORM
Acreditation Date: 20 th October 2009
Please complete the Accreditation Form in full.
Personal Information
Name, Surname
*
:
Date of Birth (dd/mm/yy)
*
:
Place of Birth
*
:
Sex
*
:
Female
Male
Personal Contact Information
Home Phone
*
:
Mobile Phone
*
:
Home Fax
*
:
E-mail
*
:
Home Address
*
:
Information About the Company You Work For
Kapsamı
:
International
National
Regional
Local
Other (please specify) :
Media Type
:
Newspaper
Magazine
Television
Radio
Internet
News Agency
Private Media
Period
:
Daily
Weekly
Bi-weekly
Monthly
Bi-monthly
Tri-monthly
Job
:
Editor-in-Chief
Manager
Editor
Correspondent
Columnist
Chief
Producer
Film Critic
Director
Presenter
Other (please specify) :
Service
:
Editorial
Arts & Culture
News Centre
Information
Entertainment
Supplements
Other (please specify) :
Name of the Company
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Name of the Program (TV and Radio)
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Company Contact Information
Work Phone
*
:
Extension:
Work Mobile
*
:
Work Fax
*
:
E-mail
*
:
Work Address
*
:
Fipresci Membership
:
Yes
No
Date of Arrival in Bursa
Date of Departure from Bursa
Preferred Means of Transportation for Arrival in Bursa
:
Festival Convoy
Own Vehicle
Bus
Ferry
Preferred Means of Transportation for Departure from Bursa
Festival Convoy
Own Vehicle
Bus
Ferry
For Continued Correspondence
Use My Personal Contact Details
Yes
Use My Company Contact Details
Yes
Both May Be Used
Yes
Security Code
:
(Please enter the case-sensitive security code.)
Attach Your Photo
:
FESTIVAL CENTER
Bursa International Silk Road Film Festival
Gazeteciler Sitesi Keskin Kalem Sokak No:43
34394 Esentepe / Istanbul
Tel : +90 212 216 72 72
Faks : +90 212 216 95 96
E-mail:
info@silkroadfilmfest.com
Web :
www.silkroadfilmfest.com
All rights reserved. Silk Road Film Festival © 2009