Flahertiana / Accreditation Form

XXIII INTERNATIONAL DOCUMENTARY FILM
FESTIVAL «FLAHERTIANA-2023»

Accreditation Form

Name, Lastname

Male
Female

Contact Phone

E-mail

Media

Position

Official telephone

Fax

E-mail

Media site URL

Duration of your stay on the festival

Date of arrival

Date of departure

Booking of return tickets

Invitation for visa

In this case copy of your passport is to be faxed at +7 (342) 241-38-02, or e-mailed at flahertiana@perm.ru

Booking of hotel

Please, attach to the form a photo for badge in jpg format

Фотография

(JPG файл, максимальный размер 10 Мб)

Name of the person confirming the accreditation form

Position

Phone

Я даю согласие на обработку моих персональных данных.

Пресс-секретарь МКФ «Флаэртиана»

АНАСТАСИЯ КОЖЕВНИКОВА
press.flahertiana@gmail.com
+7 (919) 719-78-97