What is your name? *

What is the name of your organization? *

What is the address of your organization? *

Please list your official website:

What is your screening venue? *

How many seats does it hold? *

How much would you charge for tickets? *

Is this a nonprofit benefit screening? If yes, for what cause or organization? *

What technical screening format(s) will you require? *

Who is responsible for running the show and executing the screening agreement? (full name and phone number required) *

Please list the names, titles and email addresses of any separate staff people who may be running event logistics, promo campaigns, AV setup, print traffic, etc.

Do you have any sponsors or partner organizations on board? If yes, please list them:

What would be your ideal date range to screen the film? *

Are you trying to book the film for a specific date? If yes, please list it here:

What type of screening fee would you prefer? *

Are you interested in booking the director or producers for an in-person appearance and Q&A? If so, please list any additional budget and accommodations that would be provided:

Are there any additional notes or elements the filmmakers should keep in mind?