GOING CLEAR Screening Request Form - Educational Purposes

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Please complete the form below and Jigsaw Productions will follow up with you as soon as possible. Please feel free to contact Kristin Cooney at kristin@rocofilms.com with any questions about purchasing the educational DVD and/or hosting a screening at a school, university, or library.

Notes:
**All public screenings require a license, regardless of audience size

**Please do not fill out this form if you want to screen the film in your home.

First Name *

Last Name *

Email Address *

Phone Number

Organization/Affiliation/School *

City *

State *

Desired Date

Will the screening be free?

Yes

Clear selection

Is the screening open to the public?

Yes

Clear selection

Venue size * *

Submit

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