Brave Miss World Screening Application
Thank you for your interest in hosting a screening of Brave Miss World. Please take a moment to complete the form below. We look forward to being in touch within 1-2 business days to follow up on your request.
Primary Contact *
First and last name
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Primary Contact Title/Position *
CEO, Student leader, Outreach Coordinator, etc.
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Sponsoring Organization *
Organization, business, group hosting the event; be as specific as possible
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Primary Contact Email address *
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Primary Contact phone number *
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Organization Website
If applicable, insert URL
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Where should we mail the film? *
Include State/Provence, Zip Code
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Anticipated Day of Event *
If unknown, enter best estimate of time frame
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Venue Name *
Be as specific as possible
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Venue Street Address *
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Venue State *
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Which version of the film would you prefer? *
Required
Which format would you like to receive? *
Required
How many people do you believe will attend your screening? *
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Are you interested in having a speaker at your screening? *
Travel arrangements, speaking fees for survivors and/or filmmakers will be discussed later, please just indicate any interest
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What do you hope your audience will gain from the film?
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How did you hear about the film? *
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If you have a promo code, please enter below.
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Is there anything else you would like us to know?
Questions, concerns, ideas, comments?
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