Video Project Community Screening Request Form

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*please note that community screenings licenses are fee-based to support the work of our filmmakers*

Your name and job title
*

E-mail address *

Phone #

What is the name of your organization? *

Why type of organization are you? *

Which film are you interested in screening? *

What is the date of your desired screening? *

Will your screening be held in-person or virtually? *

In-person

Virtually

Not sure

Are you looking to hold more than one screening? *

Yes

If yes, how many?

What is your budget for the film license for this screening?

For in-person screenings, what is the seating size of the venue?

For virtual screenings, up to how many would be attending?

What type of audience will be attending your screening (i.e. educators, legislators, community, etc.)

Are you interested in having a filmmaker speak at your event? Virtual or In-Person? What is your budget for a speaker honorarium?

Are you willing to share information with your audience and members about purchasing community screenings or educational licenses of the film?

Please share anything else you'd like us to know

Submit

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