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Banned Together - screening request form
*please note that community screenings licenses are fee-based to support the work of our filmmakers*
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* Indicates required question
Your name and job title
*
Your answer
E-mail address
*
Your answer
Phone #
Your answer
What is the name of your organization?
*
Your answer
Why type of organization are you?
*
Choose
National non-profit
Local non-profit chapter
Community group
Government
K-12 school
College/University
Community College
Public library
Faith-based organization
Business / Corporation
Conference
What is the date of your desired screening?
*
Your answer
Will your screening be held in-person or virtually?
*
In-person
Virtually
Not sure
Are you looking to hold more than one screening?
*
Yes
No
If yes, how many?
Your answer
What is your budget for the film license for this screening?
Your answer
For in-person screenings, what is the seating size of the venue?
Your answer
For virtual screenings, up to how many would be attending?
Your answer
What type of audience will be attending your screening (i.e. educators, legislators, community, etc.)
Your answer
Are you interested in having a filmmaker speak at your event? Virtual or In-Person? What is your budget for a speaker honorarium?
Your answer
Are you willing to share information with your audience and members about purchasing community screenings or educational licenses of the film?
Your answer
Please share anything else you'd like us to know
Your answer
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