RFC — Exclusive Distribution and Representation Mandate for a Film / Audiovisual Work

1. Producer / Rights Holder

Name or company * Country * Email * Phone

Address Role * If other, please specify

2. Film Information

Original title * International title Director * Country of production * Year of production Duration Genre Original language

Available subtitles Brief synopsis Festivals, selections or awards already obtained

3. Territory, Term and Restrictions

Territory, Term and Restrictions * Term of mandate *

Excluded territories or details

Premiere status

World premiere still available International premiere still available African premiere still available Malagasy premiere still available The film has already been publicly screened To be verified

Restrictions, rights already granted or existing commitments

4. Links and Files

Large video files should preferably be sent through a private link. The uploads below are mainly for documents, photos, subtitles and press materials.

Private screening link * Screening password Download link for the film Download password Link expiry date

Poster Film stills Director photo Technical sheet / press kit SRT subtitles Rights proof / authorization

5. Warranties and Signature

I certify that I am authorized to sign this mandate on behalf of the Producer / Rights Holder. I certify that the information provided is accurate. I confirm that I hold or represent the necessary rights in the film. I accept the exclusive nature of this mandate. I accept that RFC may act within the scope of the mandate without additional approval for each exploitation. I accept the terms of this mandate. I acknowledge that my electronic signature constitutes validation, consent, acceptance and signature of this mandate, with the same legal intention as a handwritten signature. I agree to receive a copy of the signed contract by email.

Full name of signatory * Position * Company / organization Country *

Electronic signature — full name typed by the signatory *

Handwritten electronic signature *

Draw your signature in the box below using your mouse, trackpad or finger. This signature will be included in the signed PDF.

Please draw your electronic signature before signing the mandate.