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I Have A Name Host a Screening Form
Are you ready to take the first step to bring
I HAVE A NAME
to your community, school or organization? Complete the form below and we'll be in touch with details. Thank you!
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* Indicates required question
Email
*
Your email
First name
*
Your answer
Last name
*
Your answer
Organization / Institution Name
*
Your answer
How would you categorize your organization or institution?
*
College or University
Non-profit / Community group
Government Agency
Business / Corporation
Public Library
High School
Conference
Museum
City
*
Your answer
State
*
Your answer
Country
Your answer
Proposed Screening Date (
Date can be an estimation and subject to change.)
*
MM
/
DD
/
YYYY
Estimated Audience Size
*
Up to 50
50-100
100-200
200-300
300-500
500+
1,000+
Would you like more information about inviting a representative from the film to participate in a panel or Q&A?
*
Yes
Maybe
No
Anything else you'd like us to know?
Your answer
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