Screening Inquiry Form
Please complete the short form below and someone from our team will be in touch. This is simply an inquiry and not a commitment to host - just a request for information. Thank you!
Sign in to Google to save your progress. Learn more
Organization / Institution Name
First Name
Last Name
Email address
How would you categorize your organization or institution?
Clear selection
City
State
Proposed Screening Date
This can be a general prediction, can be changed at any time, and is not a commitment to host. It simply helps our team to send you the most accurate and helpful information.
MM
/
DD
/
YYYY
How would you like to offer your screening?
Clear selection
Are you interested in inviting a representative from the film to participate in a panel or Q&A?
Clear selection
Anything else you'd like us to know?
Disclaimer

By submitting this inquiry, you agree to Patagonia, Inc. and ROCO Films' processing of the personal data you submit for the following purposes:
 
·       To communicate with you regarding the event for which you registered;
·       As reasonably necessary for the organization of the event for which you registered; and
·       To receive information regarding future events.

Information collected for the is subject to the Patagonia Action Works Privacy Policy (https://www.patagonia.com/actionworks/privacy-policy/).
Information collected for the purposes of this event are subject to ROCO Films’ Privacy Policy (https://mailchi.mp/6a7ebadd1e8c/roco-privacy-policy).
Subscribe
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of roco films international, llc. Report Abuse