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Name (First and Last)
Phone Number
Name of Organization
Will your screening take place in an educational or an institutional setting? (or other?)
Do you have a venue set for the screening? if so, how many seats are in this theater?
How many times do you plan to show the film?
Do you plan to charge admission?
Do you have a date in mind for your screening?
Is there anything else you'd like us to know before we contact you?
Would you like to be notified about other upcoming films?
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This form was created inside of Salty Features.