<p> EXSPORT MOVIES & TV 2015 33rd MILANO INTERNATIONAL FICTS FEST REGISTRATION FORM VIP AND PRESS ACCREDITATION</p><p>Space reserved to VIP ACCREDITATIONMr Mrs First Name Last Name</p><p>Network / Company Job position</p><p>Address City</p><p>Zip Code Country</p><p>Phone Fax E-mail </p><p>Direct phone Mobile Website</p><p>Space reserved to PRESS ACCREDITATION</p><p>OVERNIGHT STAY 27/10 28/10 29/10 30/10 31/10 1/11 2/11 IN MILAN </p><p>What kind of event of “Exsport Movies & Tv 2015” do you like attend?</p><p>Heading:...... OPENING CEREMONY (28 OCTOBER) TypePROJECTION, of press: WORKSHOP PressAND MEETING Radio (29 - 31 OCTOBER Press Agency) Web Other AWARD CEREMONY (1 NOVEMBER) </p><p>Position: Journalist Photographer Technician Other</p><p>The present must be sent back to the FICTS within 28th OCTOBER 2015 by mail to [email protected] or by Fax (+39) 02.837.59.73</p><p>According to and for the effects of the Art. 13 of the legislative decree number 196 of 30th June 2003, the personal data will be dealt, exclusively in the within of the procedure for which the present declaration is make.</p><p>Signature …………………………………</p>