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Impact Parter Questionnaire
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* Indicates required question
Email
*
Your email
What Impact are you interested in?
*
In Person Screening
Virtual Screening
Speaking Engagement
Other:
Name and description of your business/organization(Individuals just reply individual)
*
Your answer
Number of Attendees
*
Choose
1-25
26-100
101-250
251-500
500-1000
1000+
Estimated Date of Your Event
*
Your answer
Contact Name
*
Your answer
Phone Number
Your answer
How did you hear about the film and what are you envisioning for your event?
Your answer
Message or comments
Your answer
Send me a copy of my responses.
Submit
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