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YERT Screening/Presentation Request Form
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First Name
*
Your answer
Last Name
*
Your answer
E-mail address
*
Your answer
Phone
Your answer
Approximate screening date
*
Just give us your preferred range of dates
Your answer
City
*
Your answer
State
*
Your answer
Country
Your answer
Sponsoring organization
If applicable
Your answer
Venue
Theater or space where you'd like to have the event. (optional)
Your answer
Event type
Public event
Private event
Clear selection
Expected audience size
up to 50 people
51-100 people
101-200 people
201+ people
Other:
Clear selection
What sort of elements do you want at your event?
Choose all that apply.
Feature Film Screening
Live Presenter
Video-Conference Presenter
Short Films
Educational Cut (about an hour long)
Other:
What is your role?
I'd like to host/coordinate the event.
I'm just suggesting this event. Somebody else can organize it.
Other:
Additional details you'd like to share
Know of additional venue recommendations we could explore? Other groups we should approach? Other outreach ideas?
Your answer
How did you hear about YERT?
Your answer
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