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Accreditation form

If you wish to be accredited for the 8th Amnesty International Film Festival please complete the form below. Applications must be received before February 28th, 2006. We will alert you of the status of your application by March 1st.

Please include two passport size photographs with you name on the reverse side, a photocopy of your business or your press card.

If you return this form by e-mail, please send photographs and photocopies to:
Amnesty International Film Festival
P.O. Box 1968
1000 BZ Amsterdam
The Netherlands

   
* Compulsory information

Male/Female* Mr. Ms.
First name*
Last name*
Address*
Zip code*
City/Town*
Country*
Nationality*
Phone*
Mobile phone
Fax
E-mail*
   

WORKING SECTOR*

   
COMPANY NAME*
Address*
Zip code*
City/Town*
Country*
Phone*
Fax*
E-mail*

Position in company*

   
PRESS
Publication/Affiliation
   
Address while in Amsterdam
Phone while in Amsterdam
Arrival date
Departure date
   
Please mail us your address, date of arrival/departure as soon as possible.