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In-person Screening Request Form
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* Indicates required question
TYPE OF ORGANIZATION / EVENT
*
NAME:
Your answer
Address:
*
Your answer
Website (if applicable):
Your answer
TYPE OF VENUE/SCREENING LOCATION NAME:
*
Your answer
Address/URL of venue:
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Your answer
Type of venue:
*
At School (K-12)
On University Campus
At Public Library
Nonprofit On Site
Business On Site
At Auditorium
At Museum/Gallery/Performing Arts Theater
Other:
At Movie Theater / Other (please describe):
Your answer
NUMBER AND DATE OF SCREENINGS:
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How many screenings will you hold?
Your answer
What are your screening dates?:
Your answer
VENUE SIZE:
*
What is the seating capacity for your screening location?
Your answer
What is your expected audience?
*
Your answer
PRICE OF ADMISSION:
Are you charging admission?
Free Admission
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If you are charging admission, what is the price per ticket?
*
Your answer
CONTACT INFORMATION:
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NAME:
Your answer
EMAIL:
*
Your answer
PHONE:
*
Your answer
Personal or company URL Mailing Address
Your answer
Invite the filmmakers to speak at your screening!
*
YES !
No, thanks
Required
Post my screening on the website?
*
Yes
No
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