2012 Entry Form (Entries close 13th April 2012 at 5pm AEDST) The Tasmanian Breath of Fresh Air (BOFA) Film Festival 2012 “Essence of Tasmania” Short Film Competition details marked with * are mandatory Film title*: Short synopsis (< 30 words)*: Full Synopsis*: Date film completed* TASMANIAN BREATH OF FRESH AIR FILM FESTIVAL WWW.BOFA.COM.AU 1 Entrants contact: First Name*: Surname*: Date of birth*: Male? Female? Street or Postal Address including country and postcode*: Email*: Mobile (including Country and Area Code)*: Telephone (business hours) (including Country and Area Code)*: Telephone (after hours) (including Country and Area Code)*:Director(s)*: Producer(s)*: Writer(s)*: Director of Photography*: Composer (if original score): Music (source): Effects/animation: Art: Cast: Country of production*: Exact run-time*: Shoot Format *: Language:* English Sub-titles*: Yes? No? Genre*: Still photos: Yes? No? (Please send with your film) TASMANIAN BREATH OF FRESH AIR FILM FESTIVAL WWW.BOFA.COM.AU 2 I have read, understood and accept the Tasmanian Breath of Fresh Air (BOFA) Film Festival “Essence of Tasmania’ Short Film Competition terms and conditions found here: http://www.bofa.com.au/pdf/BOFA-Essence-Comp-Terms-and-Conditions.pdf Signed: Date Full name (print): TASMANIAN BREATH OF FRESH AIR FILM FESTIVAL WWW.BOFA.COM.AU 3