Wasserman Cinematheque Request Form
Thank you for your interest in booking the Wasserman Cinematheque for film screening purposes. Please answer the questions below as completely as possible. We will get back to you within 5 business days of receiving your completed Wasserman Questionnaire. Note that we are not able to process any request that does not include a cost center chargeline. Action will be taken on each form by administrators within the Film, Television and Interactive Media program. Only one contact person per event please.
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Email *
Requesting group or department *
Event Name *
Event Date *
MM
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DD
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YYYY
Event Start Time *
Time
:
Event Conclusion Time *
Time
:
Type of media being screened *
Other tech requirements (microphones, etc.)
Description of Event *
Will fees be charged for attendance? *
If "yes" to fees, please define pricing structure
Please provide a cost center chargeline *
Requestor name *
A copy of your responses will be emailed to the address you provided.
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