to be filled in and submitted together with the copies of the film

Appendix B – to be filled in and submitted together with the copies of the film
Date:__________________
To:
The various media entities – printed press / Internet media / broadcasting channels.
(Hereinafter: the Media Entities)
Re: Delivery of Images./video clip for Publication
The undersigned ________________, who is authorized to sign on behalf of
___________________ (the entity submitting the image),hereby confirms that you may publish
the video clips and images related to ___________________ (name of the film), which are being
delivered to you on ________________, for PR and information purposes through the Various
Media Entities, for no consideration.
It is hereby declare that the festival is authorized to pass screeners or screening links to selected
members of the media for PR purposes.
It is hereby declared that the copyright the images and video clips and/or the rights to use them
belong to _______________________ and that I may grant the Media Entities the right to use the
images and video clips for the above purposes.
The credit to be placed alongside the image upon its publication is ________________.
_________________ (the undersigned entity and/or person), will be exclusively and solely liable
for any claim by any third party against the Media Entities and will bear the expenses caused to
them in connection with such claim.
(Signatory’s Name and Position) ______________________
(The Company)
__________________________________