Become a Film in Hospital partner
 Please fill in following form in and we’ll get back to you, as soon as possible.

Sign in to Google to save your progress. Learn more
Email *
Country *
Name organisation *
Business *
Work of field *
Arts- and culture, distributor, film sector, ...
Contact person (full name + e-mail) *
When would you like to join? *
Why this project? *
Write a short motivation. Don't forget to mention how you would elevate this project.
How do you know the project? *
Clear form
Never submit passwords through Google Forms.
This form was created inside of JEF VZW. Report Abuse