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ACCREDITATION FORM

IMPORTANT INFORMATION ------------------------------------------------

This accreditation form is strictly reserved to cinema and audiovisual professionals. The return of this form doesn't automatically give the right to an accreditation for the applicant.

An accreditation will not be delivered in case of incomplete form or lack of photo.

Deadline for submission: November 14, 2011.
After this deadline, any accreditation will be charged 30€.

Note: any accreditation request during the Festival will be delivered within a 24 hour period.

The accreditation will be ready to be collected at the Accreditation & Guest Office, upon presentation of an ID, from Tuesday November 22, 2011 at 3Continents Café/Espoace Cosmopolis (6 bis rue Lekain, near the cinema Katorza and the Place Graslin - Opening hours during the Festival: 9:30am-8:00pm).

About your stay in Nantes

Those who are not hosted by the Festival will soon find a list of hotels on the Festival website: www.3continents.com

More information:
Nantes Tourism Office
+ 33 (0) 892 464 044 (0, 34 €/mn)
www.nantes-tourisme.com

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Accreditation :

Julie KLEIN
accreditation@3continents.com
Phone : +33 (0)2 40 69 92 70 / Fax : +33 (0)2 40 73 55 22
Festival of 3 Continents - 7 rue de l'Héronnière
BP 43302 - 44033 Nantes Cedex 1 - France

This year, the Festival of 3 Continents will open its 33^nd edition with a special screening one film from the Official Competition on Tuesday November 22 at 7:00pm at the cinema Katorza. Do not hesitate to join us for this first competitive screening!

INFORMATIONS PERSONNELLES / PERSONNAL INFORMATION
Civilité / Title *	:
Nom / Surname *	:
Prénom / First Name *	:
Nationalité / Nationality *	:
Email personnel / personnal email adress *	:
Téléphone portable / Mobile Phone *	:
Photo d'identité (format JPG) / ID Photo (JPG) *	:
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INFORMATIONS PROFESSIONNELLES / PROFESSIONAL INFORMATION
Catégorie professionnelle / Professional category *	:
Nom de la structure / Name of the company *	:
Fonction au sein de la structure / Position in the company *	:
Adresse de la structure / Business adress	:
Téléphone portable professionnel / Professional Mobile Phone *	:
Téléphone direct / Direct phone *	:
Email professionnel / professional email adress *	:
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SÉJOUR AU FESTIVAL DES 3 CONTINENTS / STAY AT THE FESTIVAL OF 3 CONTINENTS
Adresse à Nantes ou hôtel / Your adress in Nantes or hotel	:
Date d'arrivée à Nantes / Date of arrival in Nantes	:
Provenance / Coming from	:
Date de départ / Date of departure	:
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ACCOMPAGNANT(E)/ ACCOMPANYING
Toute accréditation supplémentaire demandée au titre d’une personne accompagnante est payante au tarif de 30 €. N'oubliez pas de joindre le chèque d'un montant de 30€ à faire parvenir à l'adresse postale du Festival.
Any additional accreditation will be charged 30 €. Don’t forget to enclose a check of 30 € and send it at Festival postal address.
Nom acc. / Surname acc.	:
Prénom acc. / First Name acc.	:
Photo d'identité (format JPG) acc. / ID Photo (JPG) acc.	:
Il ne sera accepté qu’une seule demande d’accréditation Accompagnant(e) par accrédité principal / It will be accept only one accreditation request by accompanying for a principal licensed.
J'ai pris connaissance des conditions et les accepte / I take cognizance about conditions and agree *	:
LIBELLE_CAPTCHA_EXPLICATION
Combien font 7 plus 1 ? *	:
* : obligatory field