2. 参展申请表.docx

附件 2 Attachment2 参展申请表 APPLICATION FORM 1.参展公司信息 COMPANY INFORMATION 公司名称 Company 中文 English 国家/地区 Country/Area 城市 City 地址 Address 电话 Tel 传真 Fax 邮编 Post Code 网址 Web Site 联系人信息 Contact Information 姓名 Name 职务 Title 电话 Tel 电子邮件 E-Mail 传真 Fax 2.申请参展影片信息 FILM INFORMATION 影片基本情况 ( Basic Information ) 原文片名 Original Name 英文片名 English Name 中文片名 Chinese Name 出品时间 Original Release Date 年/Year -1- 月/Month 日/Date 出品国家、地区 Country/Area of Origin 出品公司 Production Company 导演 Director 编剧 Screen Writer 片长 Running Time 分钟/Minutes 影片英文简介 (30-100 字) Film English Synopsis (30-100 words) 影片中文简介 (30-100 字) Film Chinese Synopsis (30-100 words) 技术数据情况 ( Technical Features ) 对白语种 Original Language 字 幕 Subtitle □无/No □有/Yes □中文字幕/Chinese Subtitle □英文字幕/English Subtitle 影片规格 Film Format □ 15/70mm □ 数字/Digital Cinema Package □ 序列帧/Dome Master □ MPEG2 立体效果 2D/3D 播放影院 Cinema Category □2D □3D □球幕影院/ Dome Theater □巨幕影院/Giant Screen Theater □4D 影院/ 4D Attraction Theater 协议(Agreement) -2- I, as the representative authorized by the production company and having already received consent from the third party involved in the film production, hereby declare to submit this film to the 9th Beijing International Film Festival “Science & Technology Section”. I guarantee that the films sent to participate in the 9th Beijing International Film Festival “ Science & Technology Section” abide by the rules and regulations. I guarantee that the above information is true and accurate. 我在此承诺，作为出品公司代表出品公司授权人，已获得参与影片制作的第三方同意我将 该影片报名参加第九届北京国际电影节“科技单元”，保证所送影片按规定参加第九届北 京国际电影节“科技单元”。我承诺上述填写的信息真实、准确。 签名和公司印章 Signature by Corporation or Office Seal of Registration Party 年/Year 月/Month 日/Date *报名需将电子版报名表发送至以下指定邮箱，并打印出纸质版报名表签字盖章。签字盖章版纸质报名表随 DVD 样片一同寄到中国科学技术馆。如有多部影片参展，请另添加此表。 The digital Application Form should be sent to the emails below. The original Application Form with signature and seal should be delivered with DVDs to China Science and Technology Museum. One Application Form is only available for one film. 通讯地址：北京市朝阳区北辰东路 5 号 中国科学技术馆 202 室 邮编：100012 传真：+86-10-59041169 电话：+86-10-18910551726，+86-10-59041158 电子邮箱：cstmcinema@163.com Add: Room 202, No. 5, Beichen East Road, Chaoyang District, Beijing, 100012, China. China Science and Technology Museum, Tel: +86-10-18910551726, +86-10-59041158 Fax: +86-10-59041169 Email: cstmcinema@163.com -3-