Modena Province
The President , The General Manager, Public Relations Office
Modena Province Council for Environment and Defense of Soil

www.aniMOweb.it
Interactive animation contest www.animoweb.it
Second edition, 2003 year

APPLICATION FORM

APPLICANT

SURNAME _____________________________________________
NAME _________________________________________________
COMPANY _____________________________________________
STREET ADDRESS ______________________________________
CITY __________________________________________________
ZIP/POSTAL CODE _____________________________________
COUNTRY _____________________________________________
PHONE ________________________________________________
FAX __________________________________________________
E-MAIL _______________________________________________
AUTHOR BIOGRAPHY/ HISTORY OF THE COMPANY
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
OTHER ANIMATIONS OR WORKS PUBLISHED ON THE WEB
_______________________________________________________
_______________________________________________________
_______________________________________________________


MATERIALS

CONTEST SECTION
Section A (intro)
Section B (games)
Section C (short films)
TITLE _________________________________________________
DATE OF COMPOSITION ________________________________
SWF/DCR FILE NAME __________________________________
SWF/DCR FILE SIZE ___________________________________
SUPPORT FILES (NAME AND SIZE) _______________________________________________________
_______________________________________________________
_______________________________________________________
NOTES ________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________

The participation in the contest implies the acceptance of the contest regulation without reserve.
I declare under my personal responsibility that the work submitted through this application form is in accordance with the copyright laws.
Province of Modena is allowed to deal with these data exclusively for the contest activities. The treatment of private data will occur according to the current privacy law (law 975/1996).
This application form must be filled in all its parts and sent via e-mail in pdf or Word for Windows formats. The information required in this form can also be inserted in the e-mail message with the entry files.If the participant is applying for more than one section with different works, an application form for each work must be submitted.