UNCLE ROY Screening Request Form
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First and Last Name *
Will you sell tickets? *
Type of screening host *
Do you have a theater or venue? If so, please include the theater's name and address.
If you have a theater or venue, what formats can the theater play?
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Anticipated Event Date
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DD
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Estimated Audience Size *
How many times do you intend to screen the film? *
In Person or virtual? *
We'd like a live Q&A *
If you'd like a Q&A, do you have someone in mind?
Anything else you'd like to share about your dream event/screening?
Organization Name (if applicable)
Website
City, State *
Country *
Email *
Phone *
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