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Request accreditation form

Kortfilmfestival Leuven 2023

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Personal details

Name

Address line 1 (required for payments)

Address line 2 (if applicable)

City

State / Region / Province (if applicable)

Postal code

Country

Email

Mobile phone (please include your int. country calling code)

Preferred gender pronouns

Gender

Preferred language

Dietary preferences

Date of birth

Picture Clearly recognisable portrait picture (for your badge)

Your organization
(if applicable)

Organization name

Address line 1 (optional)

Address line 2 (if applicable)

City

State / Region / Province (if applicable)

Postal code

Country

Phone number (please include your int. country calling code)

Website (optional)

Position

Your film
(if applicable)

Do you have a selected film?

Your stay

Arrival and departure at festival

Arrival date

Departure date

Your accreditation

Are you a film student?

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Remarks

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